Organization · Type 2 NPI
Mosaic
Mental Illness Community Based Residential Treatment Facility · Logan, IA
NPI number
1174663801
Active
Practice location
217 E 7th St
Logan, IA 51546-1348
Fax (712) 664-3501
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 2439232 (IA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3 other providers at this address
Other mental illness community based residential treatment facility providers in Logan
About NPI 1174663801
Mosaic's National Provider Identifier is 1174663801, issued on Feb 8, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Logan, IA. The record was last updated on Aug 22, 2020.