| Discovery House Rf | |
|
4855 E State St Rockford IL 61108-2274 | |
| (815) 484-0900 | |
| (815) 484-1010 |
| Full Name | Discovery House Rf |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4855 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Peter F Morris (COO) |
| Authorized Official Contact | 4017802300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery House Rf 66 Pavilion Ave Providence RI 02905-1522 Ph: (401) 780-2300 | Discovery House Rf 4855 E State St Rockford IL 61108-2274 Ph: (815) 484-0900 |
| NPI Number | 1023289048 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023289048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A72600001A (Illinois) | Primary |
| 261QM2800X | Clinic/center - Methadone | A72600001A (Illinois) | Secondary |
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