Jane Addams

NPI #1073127148 in Freeport, Illinois

Provider Information

NPI Number: 1073127148
Entity Type: Organization
Organization Name: Jane Addams
Subpart: Yes (part of a larger organization)
Parent Organization: JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 4, 2020
Last Updated: Sep 4, 2020

Practice Location

Address: 3001 HIGHLAND VIEW DR
City: Freeport
State: Illinois
ZIP Code: 61032-6942
Phone: (815) 599-7300

Authorized Official

Name: ASHLEY ANNE MAZZARISI
Title: PROVIDER ENROLLMENT
Phone: (815) 599-7935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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