Organization
BASURTO BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL MARIE BASURTO LISW (OWNER/CLINICIAN)
(319) 504-4593
Entity
Organization
Contact information
Practice address
3316 CEDAR HEIGHTS DR STE A, CEDAR FALLS, IA 50613-6083
(319) 504-4593
(319) 260-1212
Mailing address
3316 CEDAR HEIGHTS DR STE A, CEDAR FALLS, IA 50613-6083
(319) 504-4593
(319) 260-1212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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