NPI 1023069440

Mental Health Institute

Organisation Psychiatry Physician Independence, IA

Practice location

Address: 2277 Iowa Ave, Independence, IA 50644-9106
Phone: (319) 334-2583
Fax: (319) 334-5252

Authorised official

Name: Bhasker Dave
Title: Superintendant
Phone: (319) 334-2583

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 100068H (IA)

Other Psychiatry & Neurology providers in Iowa →

Registry record

NPI: 1023069440
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 31 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.