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Organization
PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE
Active
Organization
PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE
Active
Other names
Prairie Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
LARECE ANNETTE BARTUSEK (OFFICE MANAGER)
(641) 243-7222
Entity
Organization
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Mailing address
PO BOX 1338, MASON CITY, IA 50402-1338
(641) 424-2391
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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