Bethany For Children & Families
Clinic/Center, Mental Health (Including Community Mental Health Center) in Moline, IL. Organization (NPI-2).
NPI number1174228639
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1174228639
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethany For Children & Families
- Organization subpart
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1701 River Dr Ste 200Moline, IL 61265-1384
Phone 309-797-7700 · Fax 309-797-2386
Mailing address
1701 River Dr Ste 200Moline, IL 61265-1384
Phone 309-797-7700 · Fax 563-243-9567
Authorized official
Lisa Christopher
Contracting Credentialing Coordinat
5633270203
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