Organization
MIDWEST CHRISTIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT FOWLER BS (EXECUTIVE DIRECTOR)
(712) 295-7601
Entity
Organization
Contact information
Practice address
4509 20TH AVE, PETERSON, IA 51047-7524
(712) 295-7601
(712) 295-7600
Mailing address
4509 20TH AVE, PETERSON, IA 51047-7524
(712) 295-7601
(712) 295-7600
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
29-11-001
IA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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