Organization
SOGC INC
Active
Other names
HOPE Enrichment Cnsling Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LEE POTTHAST LMHC, LMT (DIRECTOR OF THERAPEUTIC SERVICES)
(563) 381-4649
Entity
Organization
Contact information
Practice address
14542 61ST AVE., BLUE GRASS, IA 52726-9592
(563) 381-4649
(563) 381-4649
Mailing address
14542 61ST AVE., BLUE GRASS, IA 52726-9592
(563) 381-4649
(563) 381-4649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
06/20/2008
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