| Prelude Behavioral Services | |
|
430 Southgate Ave Iowa City IA 52240-4425 | |
| (319) 351-4357 | |
| (319) 341-0085 |
| Full Name | Prelude Behavioral Services |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 430 Southgate Ave, Iowa City, Iowa |
| Authorized Official Name and Position | Christine Russell (CFO) |
| Authorized Official Contact | 3193514357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prelude Behavioral Services 430 Southgate Ave Iowa City IA 52240-4425 Ph: (319) 351-4357 | Prelude Behavioral Services 430 Southgate Ave Iowa City IA 52240-4425 Ph: (319) 351-4357 |
| NPI Number | 1588615355 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588615355 | NPI | - | NPPES |
| 68211 | Other | IA | WELLMARK PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | NONE LISTED (Iowa) | Primary |
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