Organization
CENTRAL IOWA HOSPITAL CORPORATION
Active
Other names
Blank Mental Health Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F. CORFITS JR. (C.F.O.)
(515) 241-6470
Entity
Organization
Contact information
Practice address
1206 PLEASANT ST., DES MOINES, IA 50309-1453
(515) 241-3434
(515) 241-8631
Mailing address
1206 PLEASANT ST., DES MOINES, IA 50309-1453
(515) 241-3434
(515) 241-8631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IA
103TC2200X
Clinical Child & Adolescent Psychologist
—
IA
104100000X
Social Worker
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736603
—
IA
Enumeration date
10/10/2012
Last updated
10/10/2012
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