NPI 1497959050

Midwest Christian Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peterson, IA

Practice location

Address: 4509 20th Ave, Peterson, IA 51047-7524
Phone: (712) 295-7601
Fax: (712) 295-7600

Authorised official

Name: Everett Fowler
Title: Executive Director
Phone: (712) 295-7601

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 29-11-001 (IA)

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Registry record

NPI: 1497959050
Entity type: Organization
NPI issued: 14 Jun 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.