Organization
CHW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAROL A FAURIE (PRESIDENT/CEO)
(815) 765-0444
Entity
Organization
Contact information
Practice address
303 ANDREWS DR, SUITE 303, BELVIDERE, IL 61008-3918
(815) 765-0444
Mailing address
303 ANDREWS DR, SUITE 303, BELVIDERE, IL 61008-3918
(815) 765-0444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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