Rainbow Cafe Lgbtq Center

NPI #1457033763 in Carbondale, Illinois

Provider Information

NPI Number
1457033763
Entity Type
Organization
Organization Name
Rainbow Cafe Lgbtq Center
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Aug 4, 2023
Last Updated
Jan 28, 2026

Practice Location

Address
120 N ILLINOIS AVE
ZIP Code
62901-1450
Phone
(618) 525-9922

Authorized Official

Name
ALEXANDER R SOCORRO
Title
CLINICAL DIRECTOR
Phone
(618) 525-9922

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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