=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750220679
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUMAN SERVICE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2026
-----------------------------------------------------
Last Update Date | 03/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 S MAJOR ST
-----------------------------------------------------
City | EUREKA
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61530-1246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-694-6462
-----------------------------------------------------
Fax | 309-347-4264
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1346
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61654-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-222-2185
-----------------------------------------------------
Fax | 309-282-1089
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP FINANCIAL OPERATIONS
-----------------------------------------------------
Name | ARON KLEIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 217-902-5814
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------