SOJOURN HOUSE NPI 1790143444

NPI Information

NPI: 1790143444
Provider Name: SOJOURN HOUSE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
565 N TURNER AVE
FREEPORT, IL
ZIP 61032
Phone: (815) 232-5121
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SOJOURN HOUSE is a substance abuse rehabilitation facility in Freeport, IL. The provider is 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. SOJOURN HOUSE NPI is 1790143444. The provider is registered as an organization entity type.

The provider's business location address is:

565 N TURNER AVE
FREEPORT, IL
ZIP 61032-252
Phone: (815) 232-5121
Fax: (815) 233-4591

The provider's authorized official is Dave Manson .
The authorized official title is Executive Director and has the following contact phone number (815) 232-5121.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

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	324500000X	Substance Abuse Rehabilitation Facility		A-0595-0001-A	ILLINOIS	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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