Organization
WELLSOURCE
Active
Other names
Mental Health Center of North Iowa, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW M EASTWOOD MSW (EXECUTIVE DIRECTOR)
(641) 424-2075
Entity
Organization
Contact information
Practice address
235 S EISENHOWER AVENUE, MASON CITY, IA 50401
(641) 424-2075
(641) 424-9555
Mailing address
235 S EISENHOWER AVENUE, MASON CITY, IA 50401
(641) 424-2075
(641) 424-9555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00065243
—
IA
Enumeration date
08/17/2006
Last updated
01/23/2015
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