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Organization
OUR CHILDREN'S HOMESTEAD
Active
Organization
OUR CHILDREN'S HOMESTEAD
Active
Parent organization
OUR CHILDREN'S HOMESTEAD
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR CHILDREN'S HOMESTEAD
Authorized official
AMANDA BUCHANAN (VP CLINICAL SERVICES)
(630) 369-0004
Entity
Organization
Contact information
Practice address
1401 N 2ND ST STE 2, ROCKFORD, IL 61107-3044
(815) 316-7626
Mailing address
280 SHUMAN BLVD STE 270, NAPERVILLE, IL 60563-3187
(630) 369-0004
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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