Organization · NPI-2

All Those Yesterdays

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

NPI number1972008720
StatusActive
Last updated in NPPESMar 26, 2018

Details

NPI
1972008720
Entity type
Organization (NPI-2)
Legal business name
All Those Yesterdays
Organization subpart
No
Enumeration date
Mar 26, 2018
Last updated
Mar 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
324500000X Substance Abuse Rehabilitation Facility––

Practice location

22 Stoneybrook Cir Sw
Spencer, IA 51301-5806

Phone 712-363-5886

Mailing address

22 Stoneybrook Cir Sw
Spencer, IA 51301-5806

Phone 712-363-5886

Authorized official

Ryan Richard Jensen
Counselor
7123635886

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