| Full Name | Lifeworks |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1290 Jordan St, North Liberty, Iowa |
| Authorized Official Name and Position | Ann Eiden (VP OF CORPORATE SERVICES) |
| Authorized Official Contact | 6513791750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks 1900 Silver Lake Rd Nw New Brighton MN 55112-1786 Ph: (651) 628-9566 | Lifeworks 1290 Jordan St North Liberty IA 52317-8020 Ph: (319) 356-6352 |
| NPI Number | 1720709074 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720709074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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