Organization
FAMILY TREE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA M. SPEARS MSW (EXECUTIVE OFFICER)
(319) 269-4051
Entity
Organization
Contact information
Practice address
1125 W 4TH ST, WATERLOO, IA 50702-2845
(319) 287-5516
(319) 226-5260
Mailing address
PO BOX 1947, WATERLOO, IA 50704-1947
(319) 287-5516
(319) 226-5260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
29-07-019
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011379
—
IA
01
—
29-07-019
RTS SERVICES
IA
Enumeration date
05/19/2007
Last updated
08/22/2020
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