# ANGELHEART FAMILY & COMMUNITY HEALTH CENTER

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

## Provider details

- **NPI number:** 1932266996
- **Authorized official:** MR. DAVID ALLEN KLEIST LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 377-0770

## Contact information

- **Practice address:** 222 3RD AVE SE, CEDAR RAPIDS, IA 52401-1509
- **Practice address phone:** (319) 377-0770
- **Practice address fax:** (319) 377-5120
- **Mailing address:** PO BOX 525, MARION, IA 52302-0525
- **Mailing address phone:** (319) 377-0770
- **Mailing address fax:** (319) 377-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 00105 | IA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020