# MIDWEST CHRISTIAN SERVICES

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

## Provider details

- **NPI number:** 1497959050
- **Authorized official:** MR. EVERETT FOWLER BS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (712) 295-7601

## Contact information

- **Practice address:** 4509 20TH AVE, PETERSON, IA 51047-7524
- **Practice address phone:** (712) 295-7601
- **Practice address fax:** (712) 295-7600
- **Mailing address:** 4509 20TH AVE, PETERSON, IA 51047-7524
- **Mailing address phone:** (712) 295-7601
- **Mailing address fax:** (712) 295-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 29-11-001 | IA | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 08/22/2020