institution
Paula S. Gordy Lisw, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Centerville, Iowa
NPI 1174858963

Paula S. Gordy Lisw, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Centerville, IA and is specialized in Mental Health (Including Community Mental Health Center). Paula S. Gordy Lisw, Llc practices in Centerville, IA. The NPI Number for Paula S. Gordy Lisw, Llc is 1174858963 and holds a License No. 01294 (Iowa).

The current practice location address for Paula S. Gordy Lisw, Llc is 501 N 12Th St Ste 1, Centerville, IA and can be reached out via phone at 641-856-2688 and via fax at 641-856-2690.

Location: 501 N 12Th St Ste 1, Centerville, IA, 52544-1439
institution
Provider Profile Details
NPI Number
1174858963
Provider Name
Paula S. Gordy Lisw, Llc
Credential
Provider Entity Type
Organization
Address
501 N 12Th St Ste 1, Centerville, IA, 52544-1439
Phone Number
641-856-2688
Fax Number
641-856-2690
Provider Enumeration Date
10/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 N 12Th St Ste 1
City
State
Zip
52544-1439
Phone Number
641-856-2688
Fax Number
641-856-2690
person
Provider Business Mailing Address Details
Address
501 N 12Th St Ste 1
City
State
Zip
52544-1439
Phone Number
641-856-2688
Fax Number
641-856-2690
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
01294 (Iowa)
Definition
Definition to come...
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