| Our Children's Homestead | |
|
1401 N 2nd St Ste 2 Rockford IL 61107-3044 | |
| (815) 316-7626 | |
| Not Available |
| Full Name | Our Children's Homestead |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1401 N 2nd St Ste 2, Rockford, Illinois |
| Authorized Official Name and Position | Amanda Buchanan (VP CLINICAL SERVICES) |
| Authorized Official Contact | 6303690004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Children's Homestead 280 Shuman Blvd Ste 270 Naperville IL 60563-3187 Ph: (630) 369-0004 | Our Children's Homestead 1401 N 2nd St Ste 2 Rockford IL 61107-3044 Ph: (815) 316-7626 |
| NPI Number | 1568177210 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568177210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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