# CLARINDA YOUTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarinda Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659632107
- **Authorized official:** GORDON CHARLES REED (PRESIDENT)
- **Authorized official phone:** (712) 542-3103

## Contact information

- **Practice address:** 1820 N 16TH ST, CLARINDA, IA 51632-1165
- **Practice address phone:** (712) 542-3103
- **Practice address fax:** (712) 542-6145
- **Mailing address:** PO BOX 71602, CLIVE, IA 50325-0602
- **Mailing address phone:** (515) 243-2057
- **Mailing address fax:** (515) 244-5570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 08601 | IA | — |
| 207Q00000X | Family Medicine Physician | 29423 | IA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2012
- **Last updated:** 06/07/2012