| New Hope Counseling Center | |
|
4875 Manhattan Dr Rockford IL 61108 | |
| (815) 227-4673 | |
| (815) 227-4675 |
| Full Name | New Hope Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4875 Manhattan Dr, Rockford, Illinois |
| Authorized Official Name and Position | Joseph H. Vaughn (OWNER) |
| Authorized Official Contact | 8152274673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Counseling Center 4875 Manhattan Drive Rockford IL 61108 Ph: (815) 227-4673 | New Hope Counseling Center 4875 Manhattan Dr Rockford IL 61108 Ph: (815) 227-4673 |
| NPI Number | 1851457121 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851457121 | NPI | - | NPPES |
| 10121306 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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