Organization Name: | RURAL FAMILY THERAPY SERVICES, LLC |
NPI Number: | 1437139706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAT L. LOWENBERG (THERAPIST/ADMINISTRATOR) |
Mailing Address: | 505 E Taylor St Creston |
State: | IA US |
Postal Code: | 508014057 |
Phone Number: | 6417827212 |
Fax Number: | 6413475060 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 01250 + 01222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |