NPI 1164999892

Crusaders Central Clinic Association

Organisation Case Management Agency Rockford, IL

Practice location

Address: 1200 W State St, Rockford, IL 61102-2112
Phone: (815) 490-1600

Authorised official

Name: Samuel Miller
Title: President & Ceo
Phone: (815) 490-1737

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Illinois →

Registry record

NPI: 1164999892
Entity type: Organization
NPI issued: 31 Oct 2018
Record last updated: 25 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.