Organization
CRITTENTON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU SUDTELGTE (CHIEF FINANCIAL OFFICER)
(712) 255-4321
Entity
Organization
Contact information
Practice address
600 4TH ST STE 100, SIOUX CITY, IA 51101-1745
(712) 255-4321
(712) 252-4743
Mailing address
600 4TH ST STE 100, SIOUX CITY, IA 51101-1745
(712) 255-4321
(712) 252-4743
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233551
—
IA
Enumeration date
11/02/2006
Last updated
08/22/2023
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