NPI 1790180453

Tim Ryan Keehler, RSA

Practitioner Mental Illness Community Based Residential Treatment Facility Rochelle, IL

Practice location

Address: 555 Fairview Dr, Rochelle, IL 61068-2310
Phone: (815) 561-9003
Fax: (815) 562-6692
Mailing address: 103 Main St, Chana, IL 61015-9732

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1790180453
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2014
Record last updated: 23 Oct 2014

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.