| The Good Shepherd Foundation Of Henry County | |
|
4711 44th Street 4711 44th Street, Suite 2 Rock Island IL 61201-7190 | |
| (309) 270-1741 | |
| (309) 755-9710 |
| Full Name | The Good Shepherd Foundation Of Henry County |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4711 44th Street, Rock Island, Illinois |
| Authorized Official Name and Position | Ronald Christensen (CLINICAL PROGRAM DIRECTOR) |
| Authorized Official Contact | 3092701741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Shepherd Foundation Of Henry County 4711 44th Street 4711 44th Street, Suite 2 Rock Island IL 61201-7190 Ph: (309) 944-6205 | The Good Shepherd Foundation Of Henry County 4711 44th Street 4711 44th Street, Suite 2 Rock Island IL 61201-7190 Ph: (309) 270-1741 |
| NPI Number | 1649519620 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649519620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-9103-0002-A (Illinois) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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