| Organization Name: | CHILDREN'S THERAPY CENTER OF THE QUAD CITIES |
| NPI Number: | 1003991217 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE MCDONIEL (EXECUTIBE DIRECTOR) |
| Mailing Address: | 1504 13th Ave Moline |
| State: | IL US |
| Postal Code: | 612653113 |
| Phone Number: | 3097629552 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 10/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |