| Manhattan Counseling Center | |
|
526 W State St Rockford IL 61101-1214 | |
| (815) 968-9300 | |
| (815) 968-5314 |
| Full Name | Manhattan Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 526 W State St, Rockford, Illinois |
| Authorized Official Name and Position | Phil Eaton (CEO/PRESIDENT) |
| Authorized Official Contact | 8159689300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhattan Counseling Center 526 W State St Rockford IL 61101-1214 Ph: (815) 968-9300 | Manhattan Counseling Center 526 W State St Rockford IL 61101-1214 Ph: (815) 968-9300 |
| NPI Number | 1558327544 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558327544 | NPI | - | NPPES |
| BLUE CROSS | Other | 10120962 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
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