NPI 1053467423
Tanager Place
Practice location
- Address
- 2309 C St SW, Cedar Rapids, IA 52404-3707
- Phone
- (319) 365-9164
- Fax
- (319) 365-6411
Authorised official
- Name
- Jeff Humiston
- Title
- C.F.O.
- Phone
- (319) 365-9165
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053467423
- Entity type
- Organization
- NPI issued
- 26 Jan 2007
- Record last updated
- 22 Aug 2020
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.