NPI:
1639298706
Provider Name:
RICCA
Former Legal Business Name: ROCK ISLAND COUNTY COUNCIL ON ADDICTIONS
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1607 JOHN DEERE RD
EAST MOLINE, IL
ZIP 61244
Phone:
(309) 792-0292
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RICCA is a rehabilitation and substance use disorder clinic center in East Moline, IL. RICCA NPI is 1639298706. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Rock Island County Council On Addictions.
The provider's business location address is:
1607 JOHN DEERE RD
EAST MOLINE, IL
ZIP 61244-662
Phone: (309) 792-0292
Fax: (309) 792-1121
The provider's authorized official is Mary J. Engholm .
The authorized official title is Executive Director and has the following contact phone number (309) 792-0292.
The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/17/2017.