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General NPI Number Information
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NPI Number | 1851415947
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Entity Type | Organization
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Legal Business Name | YOUTH HOMES OF MID-AMERICA
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7225 NW 58TH ST
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City | JOHNSTON
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State | IA
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Zip | 50131-1948
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Country | US
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Telephone | 515-276-3473
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Fax | 515-278-4329
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | JOHNSTON
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State | IA
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Zip | 50131-0039
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Country | US
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Telephone | 515-276-3473
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Fax | 515-278-4329
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RONALD D. STEHL
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Credential | MSW
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Telephone | 515-276-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | IA
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