Organization
SOUTHWEST IOWA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE COOLEY (EXECUTIVE DIRECTOR)
(712) 243-2606
Entity
Organization
Contact information
Practice address
2307 OLIVE ST, ATLANTIC, IA 50022-9768
(712) 243-2606
(712) 243-2688
Mailing address
PO BOX 34, ATLANTIC, IA 50022-0034
(712) 243-2606
(712) 243-2688
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
—
0008938
—
IA
01
—
D0893
BCBS OF IA
IA
Enumeration date
02/03/2006
Last updated
12/20/2022
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