| Organization Name: | FAMILY TREATMENT PROFESSIONALS, LLC |
| NPI Number: | 1518970458 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER JANE JUDSON-HARMS (PRESIDENT) |
| Mailing Address: | 23 E Main St New Hampton |
| State: | IA US |
| Postal Code: | 506592115 |
| Phone Number: | 6413300901 |
| Fax Number: | 6413943759 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 00969 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |