COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA NPI 1124097134

NPI Information

COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA is a mental health (including community mental health center) clinic center in Iowa City, IA. COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA NPI is 1124097134. The provider is registered as an organization entity type.
The provider Other Name Is Community Mental Health Ctr.

The provider's business location address is:

507 E COLLEGE ST
IOWA CITY, IA
ZIP 52240-115
Phone: (319) 338-7884
Fax: (319) 338-7006

The provider's authorized official is Stephen Trefz .
The authorized official title is Executive Director and has the following contact phone number (319) 338-7884.

The CLIA number assigned to this NPI record is 16D2247811 - other - mental health access ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 9/21/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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