Organization · NPI-2

Northwest Iowa Mental Health Center

Clinic/Center, Mental Health (Including Community Mental Health Center) · Spencer, IA

NPI number1689669459
StatusActive
Last updated in NPPESApr 9, 2013

Details

NPI
1689669459
Entity type
Organization (NPI-2)
Legal business name
Northwest Iowa Mental Health Center
Organization subpart
No
Enumeration date
Sep 16, 2005
Last updated
Apr 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
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 St
Spencer, IA 51301-4436

Phone 712-262-2922 · Fax 712-262-3826

Mailing address

201 E 11th St
Spencer, IA 51301-4436

Phone 712-262-2922 · Fax 712-262-3826

Authorized official

Dan Ries
Director Of Finance
7122622922

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