Organization · Type 2 NPI

River Bend Christian Counseling Inc

Substance Abuse Rehabilitation Facility · Moline, IL

NPI number 1639170285 Active

Practice location

111 19th Ave
Moline, IL 61265

Fax (309) 757-0400

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	A-3692-0001-A (IL)
Substance Abuse Rehabilitation Facility Primary	324500000X	A-3692-0001-A (IL)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4 other providers at this address

NPI record

NPI: 1639170285
Entity type: Organization (Type 2)
Issued: Aug 4, 2005
Last updated: Jun 16, 2018
Status: Active

Other names

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River Bend Christian Counseling · doing business as
River Bend Christian Counseling · former legal business name

Authorized official

Dr. Al R Doyle, MD
Medical Director
(309) 757-0300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639170285

River Bend Christian Counseling Inc's National Provider Identifier is 1639170285, issued on Aug 4, 2005. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moline, IL. The record was last updated on Jun 16, 2018.