Organization
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Active
Other names
Robert Young Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DUKE (PRESIDENT)
(309) 779-2043
Entity
Organization
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
(309) 779-5222
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
(309) 779-5222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
5M00000032
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144649
MEDICARE PTAN
IL
Enumeration date
01/06/2016
Last updated
11/17/2021
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