Organization Name: | WEST IOWA FAMILY SERVICES |
NPI Number: | 1104076272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES GREENWOOD (PRESIDENT) |
Mailing Address: | 27 S Main St Denison |
State: | IA US |
Postal Code: | 514421968 |
Phone Number: | 7122638445 |
Fax Number: | 7122638250 |
NPI Enumeration Date: | 09/25/2008 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |