JOSH MARK HIRST

ROCK ISLAND, IL
NPI1164930772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  33715)
Enumeration Date2018-01-17
Last Update Date2018-01-17
Business Address
JOSH MARK HIRST CADC
4230 11TH ST
ROCK ISLAND, IL 61201-6746
Phone number: 309-788-4571
Mailing Address
JOSH MARK HIRST CADC
4230 11TH ST
ROCK ISLAND, IL 61201-6746
Phone number: 309-788-4571