Organization
FAMILY TIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D MAHONEY LMSW (DIRECTOR)
(712) 396-0290
Entity
Organization
Contact information
Practice address
700 GRACE ST, COUNCIL BLUFFS, IA 51503-4974
(712) 396-0290
(712) 396-0291
Mailing address
700 GRACE ST, COUNCIL BLUFFS, IA 51503-4974
(712) 396-0290
(712) 396-0291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
05908
IA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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