Organization
COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WRIGHT (EXECUTIVE DIRECTOR)
(563) 659-4100
Entity
Organization
Contact information
Practice address
1611 330TH AVE, CHARLOTTE, IA 52731-9682
(563) 659-4100
(563) 677-2312
Mailing address
108 INDUSTRIAL ST, DE WITT, IA 52742-2063
(563) 659-4100
(563) 659-1120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
230904
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NEW
—
IA
Enumeration date
05/15/2007
Last updated
08/22/2020
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