Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1528166360 |
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| LBN Legal business name | POWESHIEK COUNTY MENTAL HEALTH CENTER | ||||||||
| Authorized official | MYKE SELHA - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/20/2006 | ||||||||
| Last updated | 02/13/2012 - About 14 years ago | ||||||||
| Identifiers |
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