| Exceptional Persons Inc | |
|
760 Ansborough Ave Waterloo IA 50701-5714 | |
| (319) 232-6671 | |
| (319) 232-0453 |
| Full Name | Exceptional Persons Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 760 Ansborough Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Katie Callahan Slade (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3192326671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Persons Inc Po Box 4090 Waterloo IA 50704-4090 Ph: (319) 232-6671 | Exceptional Persons Inc 760 Ansborough Ave Waterloo IA 50701-5714 Ph: (319) 232-6671 |
| NPI Number | 1356486880 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356486880 | NPI | - | NPPES |
| 0741421 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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