| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 420 Kellogg Ave, Ames, Iowa |
| Authorized Official Name and Position | Jill Hill (BEHAVIORAL HEALTHCARE MANAGER) |
| Authorized Official Contact | 5152332250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1628 Ames IA 50010-1628 Ph: () - | 420 Kellogg Ave Ames IA 50010-6226 Ph: (515) 233-3141 |
| NPI Number | 1841357894 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841357894 | NPI | - | NPPES |
| 0104034 | Medicaid | IA | |
| 1104034 | Medicaid | IA |
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