| Corridor Christian Counseling Center | |
|
655 Liberty Way Ste 6 North Liberty IA 52317-9154 | |
| (319) 665-2137 | |
| Not Available |
| Full Name | Corridor Christian Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 655 Liberty Way Ste 6, North Liberty, Iowa |
| Authorized Official Name and Position | Esther Johnson (OWNER) |
| Authorized Official Contact | 3193219253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corridor Christian Counseling Center Po Box 667 North Liberty IA 52317-0667 Ph: (319) 665-2137 | Corridor Christian Counseling Center 655 Liberty Way Ste 6 North Liberty IA 52317-9154 Ph: (319) 665-2137 |
| NPI Number | 1649569625 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649569625 | NPI | - | NPPES |
| 0115642 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00228 (Iowa) | Primary |
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