Organization
RICCA
Active
Organization
RICCA
Active
Other names
Rock Island County Council on Addictions
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J. ENGHOLM CADC, CAMS II (EXECUTIVE DIRECTOR)
(309) 792-0292
Entity
Organization
Contact information
Practice address
1607 JOHN DEERE RD, EAST MOLINE, IL 61244-9662
(309) 792-0292
(309) 792-1121
Mailing address
1607 JOHN DEERE RD, EAST MOLINE, IL 61244-9662
(309) 792-0292
(309) 792-1121
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0625-0004-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
07/17/2017
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