Organization
MARSHMALLOWS HOPE NONPROFIT ORGANIZATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WORTH (SYSTEMS MANAGER)
(815) 501-8332
Entity
Organization
Contact information
Practice address
1628 TEMPLE LN, ROCKFORD, IL 61112-1045
(847) 754-5770
Mailing address
1628 TEMPLE LN, ROCKFORD, IL 61112-1045
(888) 277-4028
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
04/02/2026
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