Janet Wattles Center

NPI #1124313465 in Rockford, Illinois

Provider Information

NPI Number: 1124313465
Entity Type: Organization
Organization Name: Janet Wattles Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 1422 20TH ST
City: Rockford
State: Illinois
ZIP Code: 61104-3519
Phone: (815) 968-9300

Authorized Official

Name: PHIL EATON
Title: CEO/PRESIDENT
Phone: (815) 968-9300

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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