Healthcare Provider Details

I. General information

NPI: 1376452821
Provider Name (Legal Business Name): THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 13TH AVE N
CLINTON IA
52732-5067
US

IV. Provider business mailing address

4600 3RD ST
MOLINE IL
61265-6106
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-3000
  • Fax: 309-779-2027
Mailing address:
  • Phone: 309-779-3000
  • Fax: 309-779-2027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER LYNN SANCHEZ
Title or Position: MANAGER BUSINESS/BILLING OPERATIONS
Credential:
Phone: 309-382-8017