Provider Demographics
NPI:1598065781
Name:HEAL THE FAMILY, INC.
Entity Type:Organization
Organization Name:HEAL THE FAMILY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:319-236-7290
Mailing Address - Street 1:215 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-4701
Mailing Address - Country:US
Mailing Address - Phone:319-236-7290
Mailing Address - Fax:319-235-4364
Practice Address - Street 1:215 E 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-4701
Practice Address - Country:US
Practice Address - Phone:319-236-7290
Practice Address - Fax:319-235-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001144261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)