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Center Village, Inc.
Mental Illness Community Based Residential Treatment Facility in Keosauqua, Iowa
NPI 1376670034

Center Village, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Keosauqua, IA. Center Village, Inc. practices in Keosauqua, IA. The NPI Number for Center Village, Inc. is 1376670034 and holds a License No. 0895839 (Iowa).

The current practice location address for Center Village, Inc. is 19248 Maple Ave, Keosauqua, IA and can be reached out via phone at 319-293-3107 and via fax at 319-293-3885.

Location: 19248 Maple Ave, Keosauqua, IA, 52565-8288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376670034
Provider Name
Center Village, Inc.
Credential
Provider Entity Type
Organization
Address
19248 Maple Ave, Keosauqua, IA, 52565-8288
Phone Number
319-293-3107
Fax Number
319-293-3885
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
19248 Maple Ave
City
Keosauqua
State
Iowa
Zip
52565-8288
Phone Number
319-293-3107
Fax Number
319-293-3885
person
Provider Business Mailing Address Details
Address
19248 Maple Ave
City
Keosauqua
State
Iowa
Zip
52565-8288
Phone Number
319-293-3107
Fax Number
319-293-3885
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
890403 (Iowa)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
0895839 (Iowa)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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