| Organization Name: | HEARTLAND FAMILY SERVICE |
| NPI Number: | 1063647311 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN JEANETTA (PRESIDENT / CEO) |
| Mailing Address: | 1722 Ave C Council Bluffs |
| State: | IA US |
| Postal Code: | 515012440 |
| Phone Number: | 7124355380 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2009 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |