Mosaic

NPI #1265584197 in Logan, Iowa

Provider Information

NPI Number: 1265584197
Entity Type: Organization
Organization Name: Mosaic
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 18, 2007
Last Updated: Nov 4, 2020

Practice Location

Address: 217 E 7TH ST
City: Logan
State: Iowa
ZIP Code: 51546-1348
Phone: (712) 644-2378

Authorized Official

Name: JERI SOLE
Title: DIRECTOR OF BILLING
Phone: (402) 896-5827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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