| Galena Clinic, Inc. | |
|
939 Galena Square Dr Galena IL 61036 | |
| (815) 777-1300 | |
| (815) 777-1308 |
| Full Name | Galena Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 939 Galena Square Dr, Galena, Illinois |
| Authorized Official Name and Position | Kenneth Davis (PRESIDENT) |
| Authorized Official Contact | 8157771300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galena Clinic, Inc. 939 Galena Square Dr Galena IL 61036-1355 Ph: (815) 777-1300 | Galena Clinic, Inc. 939 Galena Square Dr Galena IL 61036 Ph: (815) 777-1300 |
| NPI Number | 1073067138 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073067138 | NPI | - | NPPES |
| 14011 | Other | IL | MENTAL HEALTH |
Galena Clinic, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 939 Galena Square Dr, Galena, IL 61036 Phone: 815-777-1300 Fax: 815-777-1308 | |
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