=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760855266
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOODWARD YOUTH CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2015
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6200 AURORA AVE STE 400W
-----------------------------------------------------
City | URBANDALE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50322-2868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-274-9607
-----------------------------------------------------
Fax | 515-274-9614
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6200 AURORA AVE STE 400W
-----------------------------------------------------
City | URBANDALE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50322-2868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-274-9607
-----------------------------------------------------
Fax | 515-274-9614
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. MIKE HUGHES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 515-537-2963
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 317887
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------