| Organization Name: | HILLCREST FAMILY SERVICES |
| NPI Number: | 1730550252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY GANSEMER (PRESIDENT/CEO) |
| Mailing Address: | 5900 Saratoga Rd Ste 11 Asbury |
| State: | IA US |
| Postal Code: | 520022124 |
| Phone Number: | 5635837357 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2015 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |