Reign-Bow Treatment Center
Clinic/Center in Lombard, IL. Organization (NPI-2).
NPI number1598403313
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1598403313
- Entity type
- Organization (NPI-2)
- Legal business name
- Reign-Bow Treatment Center
- Organization subpart
- No
- Enumeration date
- May 23, 2022
- Certification date
- Jan 22, 2025
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Reign-Bow Treatment Center (Doing Business As)
Practice location
55 W 22nd StLombard, IL 60148-4854
Phone 630-448-2721
Mailing address
55 W 22nd StLombard, IL 60148-4854
Phone 630-448-2721
Authorized official
Corita Crumpton
Ceo
7735738587
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