Organization
NEW START BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA JEFFERSON BA (CHIEF EXECUTIVE OFFICER)
(319) 493-5120
Entity
Organization
Contact information
Practice address
212 E 4TH STREET,, WATERLOO, IA 50703-2328
(319) 493-5120
Mailing address
212 E 4TH STREET,, WATERLOO, IA 50703-2328
(319) 493-5120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
12/10/2015
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