Organization
NORTH IOWA TRANSITION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE BLEILE LISW (EXECUTIVE DIRECTOR)
(641) 424-8708
Entity
Organization
Contact information
Practice address
408 1ST ST NW, MASON CITY, IA 50401-3004
(641) 424-8708
(641) 421-7809
Mailing address
PO BOX 1503, MASON CITY, IA 50402-1503
(641) 424-8708
(641) 421-7809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229377
—
IA
05
—
0739417
—
IA
05
—
1229377
—
IA
05
—
1737874
—
IA
Enumeration date
11/13/2006
Last updated
11/16/2007
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