# OTTUMWA MENTAL WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235410697
- **Authorized official:** MELISSA N GENTRY P.A-C (OWNER)
- **Authorized official phone:** (641) 684-7744

## Contact information

- **Practice address:** 801 N QUINCY AVE, OTTUMWA, IA 52501-3869
- **Practice address phone:** (641) 684-7744
- **Practice address fax:** (641) 684-7700
- **Mailing address:** 801 N QUINCY AVE STE 4, OTTUMWA, IA 52501-3869
- **Mailing address phone:** (641) 684-7744
- **Mailing address fax:** (641) 684-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | IA | Yes |

## Other

- **Enumeration date:** 08/30/2011
- **Last updated:** 07/05/2013