St Jude Retreat House, LLC
NPI #1538566732 in Des Moines, Iowa
Provider Information
- NPI Number
- 1538566732
- Entity Type
- Organization
- Organization Name
- St Jude Retreat House, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 5875 FLEUR DR
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50321-2883
- Phone
- (515) 421-4066
Authorized Official
- Name
- TIM F CARSON
- Title
- CFO
- Phone
- (515) 298-7209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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