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Sinnissippi Centers, INC.

Clinic/Center, Rehabilitation, Substance Use Disorder in Dixon, IL. Organization (NPI-2).

NPI number1679080915
StatusActive
Last updated in NPPESJul 1, 2021

Details

NPI
1679080915
Entity type
Organization (NPI-2)
Legal business name
Sinnissippi Centers, INC.
Organization subpart
No
Enumeration date
Jan 9, 2018
Certification date
Jul 1, 2021
Last updated
Jul 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
251V00000X Voluntary or Charitable––

Practice location

922 Washington Ave
Dixon, IL 61021-1254

Phone 815-284-6611

Mailing address

325 Illinois Rt 2
Dixon, IL 61021-9118

Phone 815-284-6611

Authorized official

Teresa A Good
Vp/Cfo
8152846611

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