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Organization

THE RICHMOND CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAM BARKLEY (CONTROLLER)
(515) 232-5811
Entity
Organization

Contact information

Practice address
1619 SOUTH HIGH AVENUE, AMES, IA 50010-8055
(515) 232-5811
(515) 232-7491
Mailing address
1619 SOUTH HIGH AVENUE, AMES, IA 50010-8055
(515) 232-5811
(515) 232-7491

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
2084P0800X
Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0039339
IA
05
0229807
IA
05
0745307
IA
Enumeration date
08/31/2006
Last updated
09/04/2019
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