Community Care, INC
Community Based Residential Treatment Facility, Mental Illness in Scotch Grove, IA. Organization (NPI-2).
NPI number1013044643
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1013044643
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care, INC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 530041 | IA | Yes |
Practice location
13241 County Home RoadE23
Scotch Grove, IA 52310
Phone 319-462-3875 · Fax 563-487-3623
Mailing address
108 Industrial StDe Witt, IA 52742-2063
Phone 563-659-4100 · Fax 563-659-1120
Authorized official
Benjamin Wright
Executive Director
5636594100
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