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NPI Code Detail

MEDICARE: THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH

MEDICARE: THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1073803797
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Provider Business Mailing Address
First Line : 4600 3RD ST
Second Line :
City : MOLINE
State : IL
Zip : 61265-6106
Country : US
Telephone Number : 309-779-3031
Fax Number : 309-779-2027
Provider Business Practice Location Address
First Line : 2200 3RD AVE
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-8840
Country : US
Telephone Number : 309-779-2094
Fax Number : 309-779-2027
Authorized Official
Title or Position : DIRECTOR SUPPORT SERVICES
Name : LINDSEY TIFFENBACK
Credential :
Telephone Number : 309-779-3049
Provider Enumeration Date : 04/14/2011
Last Update Date : 11/19/2021

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Directions to “THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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