NPI: 1710933445
Provider Name: NORTHEAST IOWA MENTAL HEALTH CENTER
Doing Business As: NORTHEAST IOWA BEHAVIORAL HEALTH, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
905 MONTGOMERY ST
DECORAH, IA
ZIP 52101
Phone: (563) 382-3649
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NORTHEAST IOWA MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Decorah, IA. NORTHEAST IOWA MENTAL HEALTH CENTER NPI is 1710933445. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Iowa Behavioral Health, Inc..
The provider's business location address is:
905 MONTGOMERY ST
DECORAH, IA
ZIP 52101-325
Phone: (563) 382-3649
Fax: (563) 382-8183
The provider's authorized official is Marcia Oltrogge .
The authorized official title is Executive Director and has the following contact phone number (563) 382-3649.
The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/18/2012.