Organization
RIVER BEND CHRISTIAN COUNSELING INC
Active
Organization
RIVER BEND CHRISTIAN COUNSELING INC
Active
Other names
River Bend Christian Counseling, River Bend Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AL R DOYLE MD (MEDICAL DIRECTOR)
(309) 757-0300
Entity
Organization
Contact information
Practice address
111 19TH AVE, MOLINE, IL 61265
(309) 757-0300
(309) 757-0400
Mailing address
111 19TH AVE, MOLINE, IL 61265-3754
(309) 757-0300
(309) 757-0400
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-3692-0001-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-3692-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639170285
—
IL
Enumeration date
08/04/2005
Last updated
06/16/2018
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