Organization · Type 2 NPI
Mosaic
Mental Illness Community Based Residential Treatment Facility · Urbandale, IA
NPI number
1669016457
Active
Practice location
11141 Aurora Ave Bldg 3
Urbandale, IA 50322-7904
Fax (515) 246-8236
Mailing address
4980 S 118th St
Omaha, NE 68137-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 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 1669016457
Mosaic's National Provider Identifier is 1669016457, issued on Nov 5, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Urbandale, IA. The record was last updated on Jan 9, 2024.