Assault & Abuse Services of Stephenson County

Key facts

NPI

1861458697

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

ASSAULT & ABUSE SERVICES OF STEPHENSON COUNTY

Practice address

222 West Spring St
Freeport, IL 61032-4321

Phone

(815) 232-7200

Fax

(815) 232-8470

NPI assigned

Apr 21, 2006

Organization subpart

No

Authorized official

Name

Ms. Mary Blair, MBA

Title

Chief Financial Officer

Phone

(815) 232-8179

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861458697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WEST SPRING ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324321",
            "telephone_number": "815-232-7200",
            "fax_number": "815-232-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WEST SPRING ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324321",
            "telephone_number": "815-232-7200",
            "fax_number": "815-232-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSAULT & ABUSE SERVICES OF STEPHENSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "815-232-8179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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