Organization
SOCIAL OUTREACH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FLORENCE TITILAYO EJIWALE (EXECUTIVE DIRECTOR)
(319) 855-2744
Entity
Organization
Contact information
Practice address
1224 S GILBERT ST, IOWA CITY, IA 52240-4506
(319) 855-2744
Mailing address
1224 S GILBERT ST, IOWA CITY, IA 52240-4506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01025022017006800
—
IA
Enumeration date
08/07/2013
Last updated
08/07/2013
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