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Organization

ARROWHEAD RANCH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA MOODY LCSW (CEO)
(309) 799-7044
Entity
Organization

Contact information

Practice address
12228 104TH ST, COAL VALLEY, IL 61240-9712
(309) 799-7044
(309) 799-7090
Mailing address
12228 104TH ST, P.O. BOX 370, COAL VALLEY, IL 61240-9712
(309) 799-7044
(309) 799-7090

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
001583-11
IL

Other

Enumeration date
12/20/2013
Last updated
12/20/2013
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