Organization
MIDWEST BEHAVIORAL HEALTH LLC
Active
Organization
MIDWEST BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN RALYNN BALL CADC (PROGRAM DIRECTOR, COUNSELOR)
(515) 724-9896
Entity
Organization
Contact information
Practice address
102 N WILSON STREET, JEFFERSON, IA 50129
(515) 386-2433
(515) 386-2124
Mailing address
102 N WILSON ST, JEFFERSON, IA 50129-2126
(515) 386-2433
(515) 386-2124
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1444
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
09/21/2021
Last updated
08/30/2022
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