| Jane Addams Community Mental Health Center | |
|
1010 Fairway Dr Freeport IL 61032-6600 | |
| (815) 599-6000 | |
| Not Available |
| Full Name | Jane Addams Community Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1010 Fairway Dr, Freeport, Illinois |
| Authorized Official Name and Position | Kathryn Martinez (VP OF PATIENT SERVICES) |
| Authorized Official Contact | 8155997529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Addams Community Mental Health Center Po Box 813 Freeport IL 61032-0813 Ph: () - | Jane Addams Community Mental Health Center 1010 Fairway Dr Freeport IL 61032-6600 Ph: (815) 599-6000 |
| NPI Number | 1336623453 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 09/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336623453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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