Assault & Abuse Services of Stephenson County

NPI #1861458697 in Freeport, Illinois

Provider Information

NPI Number: 1861458697
Entity Type: Organization
Organization Name: Assault & Abuse Services of Stephenson County
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 222 WEST SPRING ST
City: Freeport
State: Illinois
ZIP Code: 61032-4321
Phone: (815) 232-7200

Authorized Official

Name: MS. MARY BLAIR, MBA
Title: CHIEF FINANCIAL OFFICER
Phone: (815) 232-8179

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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