Catholic Charities Dop | |
4703 44th St Rock Island IL 61201-7189 | |
(309) 788-9581 | |
(309) 788-9581 |
Full Name | Catholic Charities Dop |
---|---|
Speciality | Community/behavioral Health |
Location | 4703 44th St, Rock Island, Illinois |
Authorized Official Name and Position | Patrick Carlson (CLINICAL DIRECTOR) |
Authorized Official Contact | 3097889581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Catholic Charities Dop 4703 44th St Rock Island IL 61201-7189 Ph: (309) 788-9581 | Catholic Charities Dop 4703 44th St Rock Island IL 61201-7189 Ph: (309) 788-9581 |
NPI Number | 1073699914 |
---|---|
Provider Enumeration Date | 10/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073699914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Illinois) | Primary |
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› Verified 9 days ago
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