Riverfront Counseling Llc | |
102 S Harrison St Davenport IA 52801-1811 | |
(563) 324-3200 | |
(563) 324-3210 |
Full Name | Riverfront Counseling Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 102 S Harrison St, Davenport, Iowa |
Authorized Official Name and Position | Jan Porter (TREASURER) |
Authorized Official Contact | 5633243200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Riverfront Counseling Llc Po Box 85 Davenport IA 52805-0085 Ph: (563) 324-3200 | Riverfront Counseling Llc 102 S Harrison St Davenport IA 52801-1811 Ph: (563) 324-3200 |
NPI Number | 1235330663 |
---|---|
Provider Enumeration Date | 05/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235330663 | NPI | - | NPPES |
0760793 | Medicaid | IA | |
0743716 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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