Teen Success, Llc | |
408 5th St Nw Altoona IA 50009-1427 | |
(515) 971-7605 | |
Not Available |
Full Name | Teen Success, Llc |
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Speciality | Community/behavioral Health |
Location | 408 5th St Nw, Altoona, Iowa |
Authorized Official Name and Position | Jennifer L Moats (ORGANIZER) |
Authorized Official Contact | 5159717605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Teen Success, Llc 408 5th St Nw Altoona IA 50009-1427 Ph: (515) 971-7605 | Teen Success, Llc 408 5th St Nw Altoona IA 50009-1427 Ph: (515) 971-7605 |
NPI Number | 1861658536 |
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Provider Enumeration Date | 08/01/2008 |
Last Update Date | 09/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861658536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 04652 (Iowa) | Primary |
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