Organization
PRELUDE BEHAVIORAL SERVICES
Active
Other names
(Formerly MECCA Services)
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RUSSELL (CFO)
(319) 351-4357
Entity
Organization
Contact information
Practice address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
(319) 341-0085
Mailing address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
(319) 341-0085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
NONE LISTED
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68211
WELLMARK PROVIDER NUMBER
IA
Enumeration date
05/15/2006
Last updated
03/06/2019
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