MR. Bruce William Boehm JR.

NPI #1437719937 in Knoxville, Iowa

Provider Information

NPI Number: 1437719937
Entity Type: Individual
Name: MR. Bruce William Boehm JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 205 N IOWA ST
City: Knoxville
State: Iowa
ZIP Code: 50138-2833
Phone: (641) 842-4618

Specialties & Taxonomy Codes

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

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