Organization
NORTHWEST IOWA MENTAL HEALTH CENTER
Active
Parent organization
NORTHWEST IOWA MENTAL HEALTH CENTER
Other names
Oak Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST IOWA MENTAL HEALTH CENTER
Authorized official
DAN RIES (DIRECTOR OF FINANCE)
(712) 262-2922
Entity
Organization
Contact information
Practice address
2273 170TH ST, OKOBOJI, IA 51355-2529
(712) 332-2932
(712) 332-2783
Mailing address
2273 170TH ST, OKOBOJI, IA 51355-2529
(712) 332-2932
(712) 332-2783
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228221
—
IA
Enumeration date
10/24/2006
Last updated
02/18/2013
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