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Discovery House Rf
Methadone Clinic in Rockford, Illinois
NPI 1023289048

Discovery House Rf is a Methadone Clinic based in Providence, IL and is specialized in Methadone. Discovery House Rf practices in Rockford, IL. The NPI Number for Discovery House Rf is 1023289048 and holds a License No. A72600001A (Illinois).

The current practice location address for Discovery House Rf is 4855 E State St, Rockford, IL and can be reached out via phone at 815-484-0900 and via fax at 815-484-1010. You can also correspond with Discovery House Rf through the mailing address at 66 PAVILION AVE, PROVIDENCE, RI - 02905-1522 (mailing address contact number: 401-780-2300).

Location: 4855 E State St, Rockford, IL, 02905-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023289048
Provider Name
Discovery House Rf
Credential
Provider Entity Type
Organization
Address
4855 E State St, Rockford, IL, 02905-1522
Phone Number
815-484-0900
Fax Number
815-484-1010
Provider Enumeration Date
03/18/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4855 E State St
City
Rockford
State
Illinois
Zip
61108-2274
Phone Number
815-484-0900
Fax Number
815-484-1010
person
Provider Business Mailing Address Details
Address
66 Pavilion Ave
City
Providence
State
Rhode Island
Zip
02905-1522
Phone Number
401-780-2300
Fax Number
401-780-2397
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
A72600001A (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
A72600001A (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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