| Sojourn House Inc | |
|
565 N Turner Ave Freeport IL 61032-3252 | |
| (815) 232-5121 | |
| (815) 233-4591 |
| Full Name | Sojourn House Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 565 N Turner Ave, Freeport, Illinois |
| Authorized Official Name and Position | Brenda Bombard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8152326121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sojourn House Inc 565 N Turner Ave Freeport IL 61032-3252 Ph: (815) 232-5121 | Sojourn House Inc 565 N Turner Ave Freeport IL 61032-3252 Ph: (815) 232-5121 |
| NPI Number | 1104978436 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104978436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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