OrganizationActive
Children'S Home Association of Illinois
NPI 1811484108 · Emotionally Disturbed Childrens' Residential Treatment Facility · Peoria, IL
Provider details
- NPI number
- 1811484108
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julie Siebert, Director of Compliance(309) 687-7440
- License
- 2B05-IPI-130 (IL)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 2B05-IPI-130 (IL)
Residential Treatment Facilities
Practice location
7225 W Plank Rd
Peoria, IL 61604-5252
Phone: (309) 685-1047
Fax: (309) 687-6615
Approximate (ZIP-level) locationGet directions
Mailing address
7225 W Plank Rd
Peoria, IL 61604-5252
Registry dates
- Enumerated
- 2018-04-23
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.