Organization
ROCK RIVER VALLEY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN SUE VAN DOREN PSY. D. (DIRECTOR)
(815) 284-6111
Entity
Organization
Contact information
Practice address
631 WILLETT AVE, DIXON, IL 61021-2348
(815) 284-6111
Mailing address
PO BOX 564, DIXON, IL 61021-0564
(815) 284-6111
(815) 284-6114
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071.007278
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
071.007278
IL
Other
Enumeration date
05/16/2010
Last updated
03/01/2012
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