Organization
MOSAIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOFFMAN (CHIEF FINANCIAL OFFICER)
(402) 896-3884
Entity
Organization
Contact information
Practice address
1402 SETTLERS LN, DENISON, IA 51442-1132
(712) 644-2378
(712) 644-3501
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
(402) 896-1511
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0736785
IA
Other
Enumeration date
02/08/2007
Last updated
12/31/2024
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