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1750 48th St Suite 2 Des Moines IA 50310-1988 | |
| (515) 271-6300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1750 48th St, Des Moines, Iowa |
| Authorized Official Name and Position | David H Vellinga (PRES/CEO) |
| Authorized Official Contact | 5152474278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 271-6300 | 1750 48th St Suite 2 Des Moines IA 50310-1988 Ph: (515) 271-6300 |
| NPI Number | 1427398338 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 03/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427398338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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