Organization
HUMAN SERVICES-CHEROKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SMITH PH.D. (SUPERINTENDENT)
(712) 225-2594
Entity
Organization
Contact information
Practice address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1566
(712) 225-2594
(712) 225-6904
Mailing address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1599
(712) 225-2594
(712) 225-6904
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
121H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640029
—
IA
Enumeration date
07/11/2005
Last updated
03/08/2013
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