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Organization

COMMUNITY SUPPORT ADVOCATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA LYNN SMITH (EXECUTIVE DIRECTOR)
(515) 883-1776
Entity
Organization

Contact information

Practice address
6000 AURORA AVE. SUITE B, DES MOINES, IA 50322
(515) 883-1776
(515) 883-2171
Mailing address
6000 AURORA AVE. SUITE B, DES MOINES, IA 50322
(515) 883-1776
(515) 883-2171

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251B00000X
Case Management Agency
IA
251C00000X
Developmentally Disabled Services Day Training Agency
IA
251S00000X
Community/Behavioral Health Agency
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0170407
IA
05
0476747
IA
05
1476747
IA
Enumeration date
11/06/2006
Last updated
03/28/2013
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