Provider Demographics
NPI:1568655249
Name:FAMILY SOLUTIONS III, INC.
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS III, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALTHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:319-827-6103
Mailing Address - Street 1:1125 6TH ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:IA
Mailing Address - Zip Code:50648-1105
Mailing Address - Country:US
Mailing Address - Phone:319-822-7610
Mailing Address - Fax:319-827-1699
Practice Address - Street 1:1125 6TH ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:IA
Practice Address - Zip Code:50648-1105
Practice Address - Country:US
Practice Address - Phone:319-822-7610
Practice Address - Fax:319-827-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00233251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA000Medicaid