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CUNNINGHAM CHILDREN'S HOME OF URBANA IL NPI 1871047209


NPI Information

NPI: 1871047209
Provider Name: CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2208237

Address:
701 DEVONSHIRE DR
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 367-3728
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CUNNINGHAM CHILDREN'S HOME OF URBANA IL is a mental health (including community mental health center) clinic center in Champaign, IL. CUNNINGHAM CHILDREN'S HOME OF URBANA IL NPI is 1871047209. The provider is registered as an organization entity type.

The provider's business location address is:

701 DEVONSHIRE DR
CHAMPAIGN, IL
ZIP 61820-337
Phone: (217) 367-3728
Fax: (217) 367-2896

The provider's authorized official is Marlin Livingston .
The authorized official title is President / C.e.o. and has the following contact phone number (217) 367-3728.

The CLIA number assigned to this NPI record is 14D2208237 - other - n/a residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2016 and was last updated on 6/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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