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Organization

WOODWARD ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD DUANE ANDERSON (PRESIDENT WOODWARD YOUTH CORP)
(515) 438-3481
Entity
Organization

Contact information

Practice address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3481
(515) 438-3489
Mailing address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3481
(515) 438-3489

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
00000
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4104803
MT
Enumeration date
09/17/2007
Last updated
09/17/2007
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