Organization
EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE J HEJTMANEK SR. LISW (DIRECTOR OF PROFESSIONAL SERVICES)
(515) 243-5181
Entity
Organization
Contact information
Practice address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 243-5181
Mailing address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 243-5181
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227116
—
IA
Enumeration date
03/08/2007
Last updated
08/22/2020
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