Organization · Type 2 NPI
Southern Iowa Independent Living, Inc.
Mental Illness Community Based Residential Treatment Facility · Fairfield, IA
NPI number
1659746360
Active
Practice location
2219 W Hills Dr
Fairfield, IA 52556-4739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
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 1659746360
Southern Iowa Independent Living, Inc.'s National Provider Identifier is 1659746360, issued on Dec 7, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fairfield, IA. The record was last updated on Dec 7, 2015.