KC EATING DISORDER CLINIC PLLC

CHAMPAIGN, IL
NPI1740169655
Entity TypeOrganization
Authorized ContactKAITLYN CORNELL
CEO
217-621-0766
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
KC EATING DISORDER CLINIC PLLC
313 N MATTIS AVE STE 110
CHAMPAIGN, IL 61821-7901
Phone number: 217-377-0299
Mailing Address
KC EATING DISORDER CLINIC PLLC
203 FLORA DR
CHAMPAIGN, IL 61821-3212
Phone number: 217-621-0766