| Youth Emergency Services & Shelter Of Iowa | |
|
918 Se 11th St Des Moines IA 50309-5324 | |
| (515) 243-7825 | |
| (515) 282-6162 |
| Full Name | Youth Emergency Services & Shelter Of Iowa |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 918 Se 11th St, Des Moines, Iowa |
| Authorized Official Name and Position | Stephen B Quirk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5152437825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Emergency Services & Shelter Of Iowa 918 Se 11th St Des Moines IA 50309-5324 Ph: (515) 243-7825 | Youth Emergency Services & Shelter Of Iowa 918 Se 11th St Des Moines IA 50309-5324 Ph: (515) 243-7825 |
| NPI Number | 1114075561 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114075561 | NPI | - | NPPES |
| 0488007 | Medicaid | IA | |
| 1104471 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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