Whalio Doctors

NPI 1407267305

Wise Mind Practice LLC

Organisation Community/Behavioral Health Agency Council Bluffs, IA

Practice location

Address
427 E Kanesville Blvd Suite 305, Council Bluffs, IA 51503-9079
Phone
(402) 999-0813
Fax
(712) 248-8813
Mailing address
6710 Mason St, Omaha, NE 68106-1138

Authorised official

Name
Morgan M Kupsinel
Title
Director
Phone
(402) 213-7379

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 06785 (IA)

Registry record

NPI
1407267305
Entity type
Organization
NPI issued
13 May 2014
Record last updated
13 May 2014

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.