Organization
BETHANY FOR CHILDREN & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHRISTOPHER (CONTRACTING CREDENTIALING COORDINAT)
(563) 327-0203
Entity
Organization
Contact information
Practice address
1701 RIVER DR STE 200, MOLINE, IL 61265-1384
(309) 797-7700
(309) 797-2386
Mailing address
1701 RIVER DR STE 200, MOLINE, IL 61265-1384
(309) 797-7700
(563) 243-9567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1B00-IPI-014
—
IL
Enumeration date
04/04/2023
Last updated
04/11/2025
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