Organization
THE LARRABEE CENTER, IN.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK WILHARM (EXECUTIVE DIRECTOR)
(319) 352-2234
Entity
Organization
Contact information
Practice address
117 11TH ST NW, WAVERLY, IA 50677-2212
(319) 352-2234
Mailing address
117 11TH ST NW, WAVERLY, IA 50677-2212
(319) 352-2234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163428
—
IA
05
—
0225987
—
IA
05
—
0746859
—
IA
05
—
1225987
—
IA
Enumeration date
12/21/2006
Last updated
08/01/2011
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