| Heartland Family Service | |
|
1722 Ave C Council Bluffs IA 51501-2440 | |
| (712) 435-5380 | |
| Not Available |
| Full Name | Heartland Family Service |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1722 Ave C, Council Bluffs, Iowa |
| Authorized Official Name and Position | John Jeanetta (PRESIDENT / CEO) |
| Authorized Official Contact | 4025527402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Family Service 2101 S 42nd St Omaha NE 68105-2947 Ph: () - | Heartland Family Service 1722 Ave C Council Bluffs IA 51501-2440 Ph: (712) 435-5380 |
| NPI Number | 1063647311 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063647311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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