Organization
URBAN DREAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY WILSON (PROGRAM DIRECTOR)
(515) 288-4742
Entity
Organization
Contact information
Practice address
1410 6TH AVE, DES MOINES, IA 50314-2801
(515) 288-4742
(515) 284-5886
Mailing address
1410 6TH AVE, DES MOINES, IA 50314-2801
(515) 288-4742
(515) 284-5886
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
—
1103077
—
IA
Enumeration date
04/03/2007
Last updated
08/22/2020
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