Organization
HUMAN SERVICES CHEROKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE GILLETTE M.D. (SUPERINTENDENT)
(712) 225-1685
Entity
Organization
Contact information
Practice address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1566
(712) 225-2594
(712) 225-1684
Mailing address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1566
(712) 225-2594
(712) 225-1684
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
121H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2640029
—
IA
Enumeration date
05/14/2007
Last updated
10/11/2010
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