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Marshmallow S Hope Nonprofit Organization Corp.
Adolescent and Children Mental Health Clinic/Center in Rockford, Illinois
NPI 1366216061

Marshmallow S Hope Nonprofit Organization Corp. is an Adolescent and Children Mental Health Clinic/Center based in Rockford, IL and is specialized in Adolescent and Children Mental Health. Marshmallow S Hope Nonprofit Organization Corp. practices in Rockford, IL. The NPI Number for Marshmallow S Hope Nonprofit Organization Corp. is 1366216061 and holds a License No. (Illinois).

The current practice location address for Marshmallow S Hope Nonprofit Organization Corp. is 1280 S Alpine Rd, Rockford, IL and can be reached out via phone at 847-754-5770.

Location: 1280 S Alpine Rd, Rockford, IL, 61108-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366216061
Provider Name
Marshmallow S Hope Nonprofit Organization Corp.
Credential
Provider Entity Type
Organization
Address
1280 S Alpine Rd, Rockford, IL, 61108-3946
Phone Number
847-754-5770
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1280 S Alpine Rd
City
Rockford
State
Illinois
Zip
61108-3946
Phone Number
847-754-5770
Fax Number
person
Provider Business Mailing Address Details
Address
1280 S Alpine Rd
City
Rockford
State
Illinois
Zip
61108-3946
Phone Number
847-754-5770
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
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 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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