Organization · Type 2 NPI

Shade of the Tree

Community/Behavioral Health Agency · Spirit Lake, IA

NPI number 1104196096 Active

Practice location

3013 Zenith Ave Unit B
Spirit Lake, IA 51360-2134

Mailing address

826 Lake St
Spirit Lake, IA 51360-1650

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104196096

Shade of the Tree's National Provider Identifier is 1104196096, issued on Jan 9, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Spirit Lake, IA. The record was last updated on Jan 9, 2012.