Specialized Support Services, Inc | |
50 Northcrest Dr Council Bluffs IA 51503-1622 | |
(712) 323-9824 | |
(712) 323-0711 |
Full Name | Specialized Support Services, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 50 Northcrest Dr, Council Bluffs, Iowa |
Authorized Official Name and Position | Norma Donahoo (CEO) |
Authorized Official Contact | 8162799090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Specialized Support Services, Inc 1353 Buchanan Ave Saint Joseph MO 64501-2003 Ph: (816) 279-9090 | Specialized Support Services, Inc 50 Northcrest Dr Council Bluffs IA 51503-1622 Ph: (712) 323-9824 |
NPI Number | 1992836159 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992836159 | NPI | - | NPPES |
0253211 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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