Community Outreach Services, LLC

NPI #1568652162 in Johnston, Iowa

Provider Information

NPI Number
1568652162
Entity Type
Organization
Organization Name
Community Outreach Services, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 30, 2007
Last Updated
Jul 30, 2007

Practice Location

Address
5870 MERLE HAY RD
Address 2
SUITE D
State
Iowa
ZIP Code
50131-2816
Phone
(515) 309-1204

Authorized Official

Name
JAMES EDWARD BUSTAMANTE, MA, LMHC, LPHA
Title
CLINIC DIRECTOR
Phone
(515) 309-1204

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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