Organization · Type 2 NPI
Ben Gordon Center
Mental Health Clinic/Center (Including Community Mental Health Center) · Malta, IL
NPI number
1457654295
Active
Practice location
21193 Malta Rd, Bldg. A - U154
Malta, IL 60150-9600
Fax (815) 756-2944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | A0254001A (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
About NPI 1457654295
Ben Gordon Center's National Provider Identifier is 1457654295, issued on Dec 17, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Malta, IL. The record was last updated on Dec 17, 2010.