| The Robert Young Center For Community Mental Health | |
|
12200 104th St Coal Valley IL 61240-9712 | |
| (309) 799-7044 | |
| Not Available |
| Full Name | The Robert Young Center For Community Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12200 104th St, Coal Valley, Illinois |
| Authorized Official Name and Position | Dennis Duke (PRESIDENT) |
| Authorized Official Contact | 3097792043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Robert Young Center For Community Mental Health Po Box 5078 Rock Island IL 61204-5078 Ph: (309) 779-2031 | The Robert Young Center For Community Mental Health 12200 104th St Coal Valley IL 61240-9712 Ph: (309) 799-7044 |
| NPI Number | 1891227575 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891227575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Arrowhead Ranch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12200 104th St, Coal Valley, IL 61240 Phone: 309-799-7044 |