Organization
HOUSE OF MERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY THOMAS ROSSOW AA, CADC (OUPATIENT COUNSELOR)
(641) 792-0717
Entity
Organization
Contact information
Practice address
200 N 8TH AVE E, NEWTON, IA 50208-2108
(641) 792-0717
(641) 792-0730
Mailing address
200 N 8TH AVE E, NEWTON, IA 50208-2108
(641) 792-0717
(641) 792-0730
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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