PROVISIONII BEHAVIORIAL HEALTH LLC
Clinic/Center - Mental Health (Including Community Mental Health Center)
Active
Organization
NPI: 1306710850
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Adult Mental Health | 261QM0850X | No | - |
| Clinic/Center - Adolescent and Children Mental Health | 261QM0855X | No | - |
| Clinic/Center - Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | - |
Frequently Asked Questions
NPI 1306710850 is the National Provider Identifier for PROVISIONII BEHAVIORIAL HEALTH LLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Peoria, IL. This NPI was enumerated on September 29, 2025.
Quick Facts
- NPI
- 1306710850
- Type
- Organization
- Enumerated
- Sep 29, 2025
- Last Updated
- Sep 29, 2025
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BRADFORD COLEN, MD
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ANTONIA SALHAB, MD
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DEAN GRAVLIN, M.D.
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