NPI | 1780993980 |
---|---|
Former Legal Business Name | AMI OF ROCK ISLAND AND MERCER COUNTIES |
Entity Type | Organization |
Authorized Contact | GARY WEINSTEIN Chief Executive Officer 309-283-1206 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2020-01-17 |