INDIVIDUAL ADVOCACY GROUP NPI 1659653319

NPI Information

NPI: 1659653319
Provider Name: INDIVIDUAL ADVOCACY GROUP

Other Name: IAG BEHAVIORAL CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4366 KENNEDY DR
EAST MOLINE, IL
ZIP 61244
Phone: (309) 796-1603
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INDIVIDUAL ADVOCACY GROUP is an adult mental health clinic center in East Moline, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INDIVIDUAL ADVOCACY GROUP NPI is 1659653319. The provider is registered as an organization entity type.
The provider Other Name Is Iag Behavioral Center.

The provider's business location address is:

4366 KENNEDY DR
EAST MOLINE, IL
ZIP 61244-250
Phone: (309) 796-1603

The provider's authorized official is David Brooks .
The authorized official title is Coo and has the following contact phone number (630) 759-0201.

The enumeration date for this NPI number is 9/19/2011 and was last updated on 3/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		150.013257	ILLINOIS	No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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