Organization
LRC VISION OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CLARK (PRESIDENT)
(704) 615-9344
Entity
Organization
Contact information
Practice address
619 CHURCH ST # 2013, OTTUMWA, IA 52501-4217
(704) 615-9344
Mailing address
619 CHURCH ST # 2013, OTTUMWA, IA 52501-4217
(704) 615-9344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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