Whalio Doctors

NPI 1952443632

Prairie Ridge Integrated Behavioral Healthcare

Organisation Substance Abuse Rehabilitation Facility Mason City, IA

Practice location

Address
320 N Eisenhower Ave, Mason City, IA 50401-1521
Phone
(641) 424-2391
Mailing address
PO Box 1338, Mason City, IA 50402-1338

Authorised official

Name
Jay Hansen
Title
Executive Director
Phone
(641) 424-2391

Registered specialties (4)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1201 (IA)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1201 (IA)
Addiction (Substance Use Disorder) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0400X Licence 1201 (IA)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 1201 (IA)

Registry record

NPI
1952443632
Entity type
Organization
NPI issued
12 Feb 2007
Record last updated
25 Aug 2017

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.