Organization
CLARINDA YOUTH CORPORATION
Active
Other names
Clarinda Academy
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON CHARLES REED (PRESIDENT)
(712) 542-3103
Entity
Organization
Contact information
Practice address
1820 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-3103
(712) 542-6145
Mailing address
PO BOX 71602, CLIVE, IA 50325-0602
(515) 243-2057
(515) 244-5570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08601
IA
207Q00000X
Family Medicine Physician
29423
IA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
06/07/2012
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