Organization · Type 2 NPI

Joseph H. Vaughn

Mental Health Clinic/Center (Including Community Mental Health Center) · Rockford, IL

NPI number 1851457121 Active

Practice location

4875 Manhattan Dr
Rockford, IL 61108

Fax (815) 227-4675

Mailing address

4875 Manhattan Drive
Rockford, IL 61108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1851457121

Joseph H. Vaughn's National Provider Identifier is 1851457121, issued on Dec 29, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rockford, IL. The record was last updated on Jul 17, 2008.