Healthcare Provider Details

I. General information

NPI: 1366568065
Provider Name (Legal Business Name): CHILDREN AND FAMILIES OF IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 UNIVERSITY AVE
DES MOINES IA
50314-2329
US

IV. Provider business mailing address

1111 UNIVERSITY AVE
DES MOINES IA
50314-2329
US

V. Phone/Fax

Practice location:
  • Phone: 515-288-1981
  • Fax: 515-288-9109
Mailing address:
  • Phone: 515-288-1981
  • Fax: 515-288-9109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number77PM29
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1285
License Number StateIA

VIII. Authorized Official

Name: MS. GLORIA GRAY I
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 515-288-1981