Mosaic Valid NPI
Organization · Mental Illness Community Based Residential Treatment Facility · Logan, IA
- NPI
- 1174663801
- Type
- Organization (Type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Mental Illness)
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 320800000X
- License number
- 2439232 (IA)
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Practice location
217 E 7th St
Logan, IA 51546-1348
(712) 644-2378