CHILDRENS HOME & AID SOC OF IL
NPI 1346557170
Clinic/Center - Mental Health (Including Community Mental Health Center) in East Saint Louis, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About CHILDRENS HOME & AID SOC OF IL
This page provides the complete NPI Profile along with additional information for Childrens Home & Aid Soc Of Il, a provider established in East Saint Louis, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1346557170 assigned on August 2010. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mike Shaver (President/ceo)
- NPI
- 1346557170 Verify this NPI
- Provider Name
- CHILDRENS HOME & AID SOC OF IL
- Entity Type
- Organization
- Location Address
- 907 MARTIN LUTHER KING DR SUITE C EAST SAINT LOUIS, IL 62201
- Location Phone
- (618) 874-0216
- Mailing Address
- 200 W MONROE ST STE 2100 CHICAGO, IL 60606
- Mailing Phone
- (312) 424-0200
- Mailing Fax
- (312) 424-6884
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2010
- Last Update Date
- 01-08-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346557170, enumerated as an "organization" on August 31, 2010.
The provider is located at 907 MARTIN LUTHER KING DR SUITE C EAST SAINT LOUIS, IL 62201 and the phone number is (618) 874-0216.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).