Hope Enrichment Cnsling Ctr | |
14542 61st Ave. Blue Grass IA 52726-9592 | |
(563) 381-4649 | |
(563) 381-4649 |
Full Name | Hope Enrichment Cnsling Ctr |
---|---|
Speciality | Community/behavioral Health |
Location | 14542 61st Ave., Blue Grass, Iowa |
Authorized Official Name and Position | Susan Lee Potthast (DIRECTOR OF THERAPEUTIC SERVICES) |
Authorized Official Contact | 5633814649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hope Enrichment Cnsling Ctr 14542 61st Ave. Blue Grass IA 52726-9592 Ph: (563) 381-4649 | Hope Enrichment Cnsling Ctr 14542 61st Ave. Blue Grass IA 52726-9592 Ph: (563) 381-4649 |
NPI Number | 1619155504 |
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Provider Enumeration Date | 02/04/2008 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619155504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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