Tanager Place
NPI #1114083474 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1114083474
- Entity Type
- Organization
- Organization Name
- Tanager Place
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2309 C ST SW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404-3707
- Phone
- (319) 365-9164
Authorized Official
- Name
- MR. JEFF HUMISTON
- Title
- C.F.O.
- Phone
- (319) 365-9164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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