Healthcare Provider Details

I. General information

NPI: 1063586071
Provider Name (Legal Business Name): ABBE CENTER FOR COMMUNITY MENTAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 5TH ST SE
CEDAR RAPIDS IA
52401-2158
US

IV. Provider business mailing address

615 5TH ST SE
CEDAR RAPIDS IA
52401-2158
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-3562
  • Fax: 319-398-3501
Mailing address:
  • Phone: 319-398-3562
  • Fax: 319-398-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ERICA BATCHELER
Title or Position: MANAGER BILLING
Credential:
Phone: 319-743-9529