NPI 1205911765

Mental Health Institute

Organisation Psychiatric Residential Treatment Facility 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

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 10PM35 (IA)

Other Psychiatric Residential Treatment Facility providers in Iowa →

Registry record

NPI: 1205911765
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 4 Sep 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.