Organization
FAMILY ADVOCACY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILKINSON (ADMINISTRATOR)
(515) 438-4214
Entity
Organization
Contact information
Practice address
124 SOUTH MAIN, WOODWARD, IA 50276
(515) 438-4214
(515) 438-4217
Mailing address
PO BOX 410, WOODWARD, IA 50276-0410
(515) 438-4214
(515) 438-4217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00417
IA
101YM0800X
Mental Health Counselor
02516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266627
—
IA
05
—
0266981
—
IA
Enumeration date
01/03/2007
Last updated
08/22/2020
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