Organization
COMMUNITY FAMILY RESOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS RUSSELL (AR MANAGER)
(319) 248-8810
Entity
Organization
Contact information
Practice address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 248-8800
Mailing address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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