Organization
CLARINDA YOUTH CORPORATION
Active
Other names
Clarinda Academy
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON CHARLES REED (PRESIDENT, CYC BOARD OF DIRECTORS)
(712) 542-3103
Entity
Organization
Contact information
Practice address
1820 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-3103
(712) 542-2907
Mailing address
1820 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-3103
(712) 542-2907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104299
—
IA
Enumeration date
02/08/2007
Last updated
08/22/2020
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