Organization
CATHOLIC CHARITIES DOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CARLSON LCSW (CLINICAL DIRECTOR)
(309) 788-9581
Entity
Organization
Contact information
Practice address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
(309) 788-9581
Mailing address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
(309) 788-9581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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