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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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