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Organization

BEN GORDON CENTER

Active
Parent organization
BEN GORDON CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEN GORDON CENTER
Authorized official
MICHAEL FLORA (CEO/PRESIDENT)
(815) 756-4875
Entity
Organization

Contact information

Practice address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6029
Mailing address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6029

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
A0254001A
IL

Other

Enumeration date
01/08/2008
Last updated
10/08/2008
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