Organization
EXCEPTIONAL PERSONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE CALLAHAN SLADE (EXECUTIVE DIRECTOR)
(319) 232-6671
Entity
Organization
Contact information
Practice address
1210 IDAHO ST, WATERLOO, IA 50703-4328
(319) 232-6671
Mailing address
PO BOX 4090, WATERLOO, IA 50704-4090
(319) 232-6671
(319) 232-0453
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0737734
—
IA
Enumeration date
02/21/2007
Last updated
09/27/2024
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