| The Robert Young Center For Community Mental Health | |
|
12160 S Utah Ave Davenport IA 52804-9537 | |
| (563) 326-1150 | |
| Not Available |
| Full Name | The Robert Young Center For Community Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12160 S Utah Ave, Davenport, Iowa |
| Authorized Official Name and Position | Dennis Duke (PRESIDENT) |
| Authorized Official Contact | 3097792043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Robert Young Center For Community Mental Health 4600 3rd St Moline IL 61265-6106 Ph: () - | The Robert Young Center For Community Mental Health 12160 S Utah Ave Davenport IA 52804-9537 Ph: (563) 326-1150 |
| NPI Number | 1093201410 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093201410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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