Provider Demographics
NPI:1730312695
Name:CHAMPAIGN COUNTY HEAD START
Entity Type:Organization
Organization Name:CHAMPAIGN COUNTY HEAD START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD START DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIFFICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-328-3313
Mailing Address - Street 1:1776 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-4578
Mailing Address - Country:US
Mailing Address - Phone:217-328-3313
Mailing Address - Fax:217-328-2426
Practice Address - Street 1:1776 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-4578
Practice Address - Country:US
Practice Address - Phone:217-328-3313
Practice Address - Fax:217-328-2426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAMPAIGN CO. REGIONAL PLANNING COMMISSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL245407-07252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency