Organization
THE COLLABORATIVE ADULT RELATIONSHIP EXPERIENCES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE A FLYNN M.S. (CONSUMER RELATIONS DIRECTOR)
(712) 256-0013
Entity
Organization
Contact information
Practice address
2649 AVENUE B, COUNCIL BLUFFS, IA 51501-2105
(712) 256-0013
Mailing address
2649 AVENUE B, COUNCIL BLUFFS, IA 51501-2105
(712) 256-0013
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
489DLC-443116
IA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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