Organization
GOLDIE B. FLOBERG CENTER FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PINGO JR. (CEO/BCBA)
(815) 624-8431
Entity
Organization
Contact information
Practice address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Mailing address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
RBT-15-02102
IL
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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