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Organization
NEW FOCUS INC.
Active
Organization
NEW FOCUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ODEN (EXECUTIVE DIRECTOR)
(641) 437-1722
Entity
Organization
Contact information
Practice address
102 W WASHINGTON ST, CENTERVILLE, IA 52544-1550
(641) 437-1722
(641) 437-1028
Mailing address
PO BOX 364, 102 W. WASHINGTON, CENTERVILLE, IA 52544-0364
(641) 437-1722
(641) 437-1028
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119388
—
IA
05
—
0233726
—
IA
Enumeration date
02/13/2007
Last updated
08/22/2020
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