Community Care, Inc

Organization Active NPI Mental Health Counselor · De Witt, IA

NPI 1013079458 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013079458
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
00254 (IA)
Legal business name
COMMUNITY CARE, INC
Practice address
108 Industrial St
De Witt, IA 52742-2063
Phone
(563) 659-4100
Fax
(563) 659-1120
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

Name
Mr. Benjamin Wright
Title
Executive Driector
Phone
(563) 659-4100

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Community Care Inc (19 organizations share this tax ID)

Locations

108 E Industrial St
De Witt, IA 52742
Phone (563) 659-4100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 00254 IA Yes

Addresses

Primary practice location

108 Industrial St
De Witt, IA 52742-2063

Mailing address

108 Industrial St
De Witt, IA 52742-2063
Phone (563) 659-4100

Other providers in De Witt, IA

All providers in De Witt, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.