Organization
THE GOOD SHEPHERD FOUNDATION OF HENRY COUNTY
Active
Organization
THE GOOD SHEPHERD FOUNDATION OF HENRY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CHRISTENSEN ED.D, CADC (CLINICAL PROGRAM DIRECTOR)
(309) 270-1741
Entity
Organization
Contact information
Practice address
4711 44TH STREET, 4711 44TH STREET, SUITE 2, ROCK ISLAND, IL 61201-7190
(309) 270-1741
(309) 755-9710
Mailing address
4711 44TH STREET, 4711 44TH STREET, SUITE 2, ROCK ISLAND, IL 61201-7190
(309) 944-6205
(309) 944-3258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
A-9103-0002-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
11/03/2025
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