CENTRAL IOWA TRAUMA AND RECOVERY CENTER NPI 1548805021

NPI Information

NPI: 1548805021
Provider Name: CENTRAL IOWA TRAUMA AND RECOVERY CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 16D2038323

Address:
301 E COURT AVE STE 105
DES MOINES, IA
ZIP 50309
Phone: (515) 770-7245
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CENTRAL IOWA TRAUMA AND RECOVERY CENTER is a mental health (including community mental health center) clinic center in Des Moines, IA. CENTRAL IOWA TRAUMA AND RECOVERY CENTER NPI is 1548805021. The provider is registered as an organization entity type.

The provider's business location address is:

301 E COURT AVE STE 105
DES MOINES, IA
ZIP 50309-004
Phone: (515) 770-7245

The provider's authorized official is Alyson Simmons .
The authorized official title is Executive Director and has the following contact phone number (515) 244-5372.

The CLIA number assigned to this NPI record is 16D2038323 - other - research office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2019 and was last updated on 11/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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