Northeast Iowa Mental Health Center

NPI #1710933445 in Decorah, Iowa

Provider Information

NPI Number: 1710933445
Entity Type: Organization
Organization Name: Northeast Iowa Mental Health Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 25, 2006
Last Updated: Apr 18, 2012

Practice Location

Address: 905 MONTGOMERY ST
City: Decorah
State: Iowa
ZIP Code: 52101-2325
Phone: (563) 382-3649

Authorized Official

Name: MRS. MARCIA OLTROGGE, MA
Title: EXECUTIVE DIRECTOR
Phone: (563) 382-3649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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