Organization
BEHAVIORAL TECHNOLOGIES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EDWARD BRADISH JR. (CEO)
(515) 263-9109
Entity
Organization
Contact information
Practice address
2601 E UNIVERSITY AVE, DES MOINES, IA 50317-5323
(515) 263-9109
Mailing address
2601 E UNIVERSITY AVE, DES MOINES, IA 50317-5323
(515) 263-9109
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0132761
IA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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