Whalio Doctors

NPI 1396818936

Family Ties, INC.

Organisation Community/Behavioral Health Agency Council Bluffs, IA

Practice location

Address
700 Grace St, Council Bluffs, IA 51503-4974
Phone
(712) 396-0290
Fax
(712) 396-0291

Authorised official

Name
Gary D Mahoney
Title
Director
Phone
(712) 396-0290

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 05908 (IA)

Registry record

NPI
1396818936
Entity type
Organization
NPI issued
15 Nov 2006
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.