Camelot Care Centers, Llc | |
817 W Pioneer Pkwy Peoria IL 61615-2144 | |
(309) 676-6305 | |
Not Available |
Full Name | Camelot Care Centers, Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 817 W Pioneer Pkwy, Peoria, Illinois |
Authorized Official Name and Position | Ronica R Patel (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6307731985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Camelot Care Centers, Llc 333 W Pierce Rd Ste 175 Itasca IL 60143-3120 Ph: () - | Camelot Care Centers, Llc 817 W Pioneer Pkwy Peoria IL 61615-2144 Ph: (309) 676-6305 |
NPI Number | 1215535786 |
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Provider Enumeration Date | 10/15/2020 |
Last Update Date | 04/03/2024 |
Certification Date | 04/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215535786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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