Whalio Doctors

NPI 1659632107

Clarinda Youth Corporation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Clarinda, IA

Practice location

Address
1820 N 16th St, Clarinda, IA 51632-1165
Phone
(712) 542-3103
Fax
(712) 542-6145
Mailing address
PO Box 71602, Clive, IA 50325-0602

Authorised official

Name
Gordon Charles Reed
Title
President
Phone
(712) 542-3103

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 08601 (IA)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 29423 (IA)

Registry record

NPI
1659632107
Entity type
Organization
NPI issued
31 May 2012
Record last updated
7 Jun 2012

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.