| Organization Name: | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
| NPI Number: | 1104963586 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH ALBRECHT (EXECUTIVE DIRECTOR) |
| Mailing Address: | 120 1st Ave Nw Ste 2 Clarion |
| State: | IA US |
| Postal Code: | 505251429 |
| Phone Number: | 5159557171 |
| Fax Number: | 5155737898 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |