NPI | 1902840325 |
---|---|
Other Name | RIVER NORTH OF ROCKFORD, INC |
Entity Type | Organization |
Authorized Contact | STEPHEN E. LANGLEY CEO 815-963-0683 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 0413) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2021-06-30 |