Organization · NPI-2
Northwest Iowa Mental Health Center
Clinic/Center, Mental Health (Including Community Mental Health Center) · Spencer, IA
NPI number1356198675
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1356198675
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Iowa Mental Health Center
- Organization subpart
- No
- Enumeration date
- May 3, 2024
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Seasons Center For Behavioral Health (Doing Business As)
Practice location
201 E 11th StSpencer, IA 51301-4460
Phone 712-262-2922
Mailing address
201 E 11th StSpencer, IA 51301-4460
Phone 712-262-2922
Authorized official
Daniel Ries
Ceo/President
7122622922
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