Organization · Type 2 NPI
Center Village, Inc.
Mental Illness Community Based Residential Treatment Facility · Keosauqua, IA
NPI number
1376670034
Active
Practice location
19248 Maple Ave
Keosauqua, IA 52565-8288
Fax (319) 293-3885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 0895839 (IA) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 890403 (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.
About NPI 1376670034
Center Village, Inc.'s National Provider Identifier is 1376670034, issued on Feb 28, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Keosauqua, IA. The record was last updated on Jul 16, 2007.