Organization
EXIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDEON KIRWA CHEBOSS (CEO)
(515) 333-2352
Entity
Organization
Contact information
Practice address
2175 NW 86TH ST STE 10, CLIVE, IA 50325-5557
(515) 333-2352
Mailing address
2175 NW 86TH ST STE 10, CLIVE, IA 50325-5557
(515) 333-2352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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