Story County Community Life Program

NPI #1477727204 in Ames, Iowa

Provider Information

NPI Number
1477727204
Entity Type
Organization
Organization Name
Story County Community Life Program
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 14, 2008
Last Updated
Apr 14, 2008

Practice Location

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

Authorized Official

Name
MRS. GAYLA R HARKEN, MS
Title
DIRECTOR
Phone
(515) 956-2602

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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