NPI 1396922084
Youth Service Bureau of Rock Island Co.
Practice location
- Address
- 4709 44th St Suite 5, Rock Island, IL 61201-7187
- Phone
- (309) 793-3460
- Fax
- (309) 732-0551
- Mailing address
- 4709 44 Street, Rock Island, IL 61201
Authorised official
- Name
- Richard J Connor
- Title
- Executive Director
- Phone
- (309) 793-3460
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1396922084
- Entity type
- Organization
- NPI issued
- 25 Jan 2008
- Record last updated
- 25 Jan 2008
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.