Organization
MARSHMALLOWS HOPE NONPROFIT ORGANIZATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WORTH (ADMINISTRATIVE ASSISTANT)
(888) 277-4028
Entity
Organization
Contact information
Practice address
2810 FRANK SCOTT PKWY W STE 812, BELLEVILLE, IL 62223-5007
(888) 277-4028
(815) 246-0245
Mailing address
1628 TEMPLE LN, ROCKFORD, IL 61112-1045
(888) 277-4028
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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