Youth Service Bureau of Rock Island Co.

NPI #1396922084 in Rock Island, Illinois

Provider Information

NPI Number: 1396922084
Entity Type: Organization
Organization Name: Youth Service Bureau of Rock Island Co.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 25, 2008
Last Updated: Jan 25, 2008

Practice Location

Address: 4709 44TH ST
Address 2: SUITE 5
City: Rock Island
State: Illinois
ZIP Code: 61201-7187
Phone: (309) 793-3460

Authorized Official

Name: MR. RICHARD J CONNOR, LCSW
Title: EXECUTIVE DIRECTOR
Phone: (309) 793-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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