| Riverbend Head Start & Family Services | |
|
3550 College Ave Ste C Alton IL 62002-7304 | |
| (618) 463-5927 | |
| (618) 463-5965 |
| Full Name | Riverbend Head Start & Family Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3550 College Ave, Alton, Illinois |
| Authorized Official Name and Position | Monica Moffet (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6184635927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverbend Head Start & Family Services 550 Landmarks Blvd Alton IL 62002-7304 Ph: (618) 463-5927 | Riverbend Head Start & Family Services 3550 College Ave Ste C Alton IL 62002-7304 Ph: (618) 463-5927 |
| NPI Number | 1164476115 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164476115 | NPI | - | NPPES |
| 3741717016 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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