Story County Community Life Program

NPI #1689986887 in Ames, Iowa

Provider Information

NPI Number: 1689986887
Entity Type: Organization
Organization Name: Story County Community Life Program
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

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	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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