The Good Shepherd Foundation Of Henry County
Clinic/Center, Rehabilitation, Substance Use Disorder in Rock Island, IL. Organization (NPI-2).
NPI number1649519620
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1649519620
- Entity type
- Organization (NPI-2)
- Legal business name
- The Good Shepherd Foundation Of Henry County
- Organization subpart
- No
- Enumeration date
- Feb 11, 2013
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 251S00000X | Community/Behavioral Health | A-9103-0002-A | IL |
Practice location
4711 44th Street4711 44th Street, Suite 2
Rock Island, IL 61201-7190
Phone 309-270-1741 · Fax 309-755-9710
Mailing address
4711 44th Street4711 44th Street, Suite 2
Rock Island, IL 61201-7190
Phone 309-944-6205 · Fax 309-944-3258
Authorized official
Ronald Christensen
Clinical Program Director
3092701741
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