Organization
SOJOURN HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA BOMBARD (EXECUTIVE DIRECTOR)
(815) 232-6121
Entity
Organization
Contact information
Practice address
565 N TURNER AVE, FREEPORT, IL 61032-3252
(815) 232-5121
(815) 233-4591
Mailing address
565 N TURNER AVE, FREEPORT, IL 61032-3252
(815) 232-5121
(815) 233-4591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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