Organization
MENTAL HEALTH INSTITUTE
Active
Parent organization
MENTAL HEALTH INSTITUTE
Other names
IMHI-PMIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH INSTITUTE
Authorized official
DR. BHASKER DAVE MD (SUPERINTENDANT)
(319) 334-2583
Entity
Organization
Contact information
Practice address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106
(319) 334-2583
(319) 334-5252
Mailing address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106
(319) 334-2583
(319) 334-5252
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
10PM35
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010108
—
IA
Enumeration date
10/25/2006
Last updated
09/04/2007
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