Provider Demographics
NPI:1083760078
Name:PARENTS UNITED OF NORTH CENTRAL IOWA, INC
Entity Type:Organization
Organization Name:PARENTS UNITED OF NORTH CENTRAL IOWA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DUFFY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:WEITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:641-424-5232
Mailing Address - Street 1:600 1ST ST NW STE 107
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2912
Mailing Address - Country:US
Mailing Address - Phone:541-424-5232
Mailing Address - Fax:641-424-8141
Practice Address - Street 1:600 1ST ST NW STE 107
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2912
Practice Address - Country:US
Practice Address - Phone:541-424-5232
Practice Address - Fax:641-424-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health