NPI 1720778756
Community Care of Pleasant Hill LLC
Practice location
- Address
- 4755 Parkridge Ave, Pleasant Hill, IA 50327-7228
- Phone
- (515) 777-3631
- Mailing address
- PO Box 57010, Des Moines, IA 50317-0001
Authorised official
- Name
- Bruce Boehm
- Title
- President
- Phone
- (712) 210-6296
Registered specialties (3)
Mental Illness Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Community/Behavioral Health Agency
Registry record
- NPI
- 1720778756
- Entity type
- Organization
- NPI issued
- 12 May 2023
- Record last updated
- 12 May 2023
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.