Youth Service Bureau Of Rock Island Co. | |
4709 44th St Suite 5 Rock Island IL 61201-7187 | |
(309) 793-3460 | |
(309) 732-0551 |
Full Name | Youth Service Bureau Of Rock Island Co. |
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Speciality | Counselor - Mental Health |
Location | 4709 44th St, Rock Island, Illinois |
Authorized Official Name and Position | Richard J Connor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3097933460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youth Service Bureau Of Rock Island Co. 4709 44 Street Rock Island IL 61201 Ph: (309) 793-3460 | Youth Service Bureau Of Rock Island Co. 4709 44th St Suite 5 Rock Island IL 61201-7187 Ph: (309) 793-3460 |
NPI Number | 1396922084 |
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Provider Enumeration Date | 01/25/2008 |
Last Update Date | 01/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396922084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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