Organization Name: | FAMILY FOUNDATIONS OF IOWA, INC. |
NPI Number: | 1003912569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA S SIEMENS (PRESIDENT) |
Mailing Address: | 2435 Kimberly Rd Suite 155 Bettendorf |
State: | IA US |
Postal Code: | 527223509 |
Phone Number: | 5633597625 |
Fax Number: | 5634590494 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |