Healthcare Provider Details

I. General information

NPI: 1134361199
Provider Name (Legal Business Name): MENTAL HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E WASHINGTON ST
MOUNT PLEASANT IA
52641-1804
US

IV. Provider business mailing address

1200 E WASHINGTON ST
MOUNT PLEASANT IA
52641-1804
US

V. Phone/Fax

Practice location:
  • Phone: 319-385-7231
  • Fax: 319-835-8788
Mailing address:
  • Phone: 319-385-7231
  • Fax: 319-835-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBRA M WHEELER
Title or Position: ASSOC. SUPT. OF ADMINISTRATION
Credential:
Phone: 319-385-7231