Organization
NORTHWEST IOWA MENTAL HEALTH CENTER
Active
Other names
Seasons Center for Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAN RIES (DIRECTOR OF FINANCE)
(712) 262-2922
Entity
Organization
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
(712) 262-3826
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
(712) 262-3826
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
—
0011650
—
IA
Enumeration date
09/16/2005
Last updated
04/09/2013
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