Organization
BROADLAWNS MEDICAL CENTER
Active
Organization
BROADLAWNS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEIGH VIGEN MS (LMHC)
(515) 282-3113
Entity
Organization
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-3113
(515) 282-6375
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-3113
(515) 282-6375
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
085417
IA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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