Organization
COUNSELING & FAMILY CENTERED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KALISTA ELISE PORATH RN, SANE (CEO)
(641) 394-2505
Entity
Organization
Contact information
Practice address
951 N LINN AVE, SUITE 3, NEW HAMPTON, IA 50659-1212
(641) 394-2505
Mailing address
951 N LINN AVE, SUITE 3, NEW HAMPTON, IA 50659-1212
(641) 394-2505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012617
—
IA
Enumeration date
11/10/2015
Last updated
11/10/2015
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