| Community Mental Health Ctr | |
|
507 E College St Iowa City IA 52240-5115 | |
| (319) 338-7884 | |
| (319) 338-7006 |
| Full Name | Community Mental Health Ctr |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 507 E College St, Iowa City, Iowa |
| Authorized Official Name and Position | Stephen Trefz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3193387884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Ctr 507 E College St Iowa City IA 52240-5115 Ph: (319) 338-7884 | Community Mental Health Ctr 507 E College St Iowa City IA 52240-5115 Ph: (319) 338-7884 |
| NPI Number | 1124097134 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124097134 | NPI | - | NPPES |
| 0074591 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | N/A (Iowa) | Primary |
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