Organization
ABBE CENTER FOR CMH AT MANOR CARE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KAESTNER LISW (EXECUTIVE DIRECTOR)
31939835662
Entity
Organization
Contact information
Practice address
1940 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 398-3562
(319) 398-3501
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074575
—
IA
Enumeration date
05/22/2008
Last updated
05/22/2008
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