Organization
UJIMA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH JEAN CLARK LMSW (EXECUTIVE DIRECTOR)
(319) 239-8831
Entity
Organization
Contact information
Practice address
100 E. EUCLID STE 131, DES MOINES, IA 50313
(515) 339-2951
Mailing address
100 E EUCLID AVE STE 131, DES MOINES, IA 50313-4540
(319) 239-8831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715470
—
IA
Enumeration date
02/14/2020
Last updated
03/03/2021
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