Youth Shelter Care Of North Central Iowa Inc

NPI 1003979139 - Counselor - 101Y00000X

NPI Details
NPI 1003979139
Enumeration Date 12/19/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAURENCE R LAURENCE
Position EXECUTIVE DIRECTOR
Phone (515) 955-4834
Fax (515) 955-6828
Practice Location
301 AVENUE M W
FORT DODGE IA, 50501-5623, US
Phone (515) 955-4834
Fax (515) 955-6828
Business Location
301 AVENUE M W
FORT DODGE IA, 50501-5623, US
Phone (515) 955-4834
Fax (515) 955-6828
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Youth Shelter Care Of North Central Iowa Inc NPI is 1003979139, taxonomy code is 101Y00000X Youth Shelter Care Of North Central Iowa Inc physically located at 301 Avenue M W, Fort Dodge IA, 50501-5623. NPI Number 1033115704 has the healthcare provider type.

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1003979139 NPI number is provided on an as is basis without warranty of any kind. 1003979139 is maintained by the National Plan & Provider Enumeration System. The contents of Youth Shelter Care Of North Central Iowa Inc are for informational purposes only.