Story County Community Life Program

NPI #1164597340 in Ames, Iowa

Provider Information

NPI Number: 1164597340
Entity Type: Organization
Organization Name: Story County Community Life Program
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 124 S HAZEL AVE
City: Ames
State: Iowa
ZIP Code: 50010-5952
Phone: (515) 956-2600

Authorized Official

Name: MRS. GAYLA R HARKEN
Title: DIRECTOR
Phone: (515) 956-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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