| Remedies Renewing Lives | |
|
215 Easton Pkwy Rockford IL 61108-2203 | |
| (815) 966-1285 | |
| (815) 962-7895 |
| Full Name | Remedies Renewing Lives |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 215 Easton Pkwy, Rockford, Illinois |
| Authorized Official Name and Position | Kathy S. Branning (VP OF BEHAVIORAL HEALTH SERVICES) |
| Authorized Official Contact | 8159661285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Remedies Renewing Lives 215 Easton Pkwy Rockford IL 61108-2203 Ph: (815) 966-1285 | Remedies Renewing Lives 215 Easton Pkwy Rockford IL 61108-2203 Ph: (815) 966-1285 |
| NPI Number | 1114493772 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114493772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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