| Teen Success, Llc | |
|
408 5th St Nw Altoona IA 50009-1427 | |
| (515) 971-7605 | |
| Not Available |
| Full Name | Teen Success, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 5th St Nw, Altoona, Iowa |
| Authorized Official Name and Position | Jennifer L Moats (ORGANIZER) |
| Authorized Official Contact | 5159717605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Success, Llc 408 5th St Nw Altoona IA 50009-1427 Ph: (515) 971-7605 | Teen Success, Llc 408 5th St Nw Altoona IA 50009-1427 Ph: (515) 971-7605 |
| NPI Number | 1861658536 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861658536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04652 (Iowa) | Primary |
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