Black Hawk-Grundy Mental Health Center Inc.

NPI #1316944598 in Waterloo, Iowa

Provider Information

NPI Number: 1316944598
Entity Type: Organization
Organization Name: Black Hawk-Grundy Mental Health Center Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 5, 2005
Last Updated: Jun 19, 2017

Practice Location

Address: 3251 W 9TH ST
City: Waterloo
State: Iowa
ZIP Code: 50702-5310
Phone: (319) 234-2893

Authorized Official

Name: MR. THOMAS CHARLES EACHUS, LISW
Title: EXECUTIVE DIRECTOR
Phone: (319) 234-2893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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