Organization
IROQUOIS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FEAR (HR & FINANCE)
(815) 432-5241
Entity
Organization
Contact information
Practice address
411 W DIVISION ST, MANTENO, IL 60950-1065
(815) 432-5241
Mailing address
PO BOX 322, WATSEKA, IL 60970-0322
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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