Organization
IROQOUOIS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FEAR (ASSOC EXEC DIR OF HR AND FINANCE)
(815) 432-5241
Entity
Organization
Contact information
Practice address
1137 E 5000N RD STE K, BOURBONNAIS, IL 60914-4229
(815) 432-5241
(815) 432-4537
Mailing address
PO BOX 322, WATSEKA, IL 60970-0322
(815) 432-5241
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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