Organization
BEHAVIORAL HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SORENSEN (CFO)
(515) 235-8822
Entity
Organization
Contact information
Practice address
945 19TH ST, DES MOINES, IA 50314-1117
(515) 210-4225
Mailing address
945 19TH ST, DES MOINES, IA 50314-1117
(515) 210-4225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001856
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082511
—
IA
Enumeration date
10/09/2007
Last updated
10/09/2007
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