Provider Demographics
NPI:1598158156
Name:COMMUNITY ACCESS & LIFE MANAGEMENT, INC
Entity Type:Organization
Organization Name:COMMUNITY ACCESS & LIFE MANAGEMENT, INC
Other - Org Name:CALM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-777-3075
Mailing Address - Street 1:333 SW 9TH ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4440
Mailing Address - Country:US
Mailing Address - Phone:515-777-3075
Mailing Address - Fax:515-777-1719
Practice Address - Street 1:333 SW 9TH ST
Practice Address - Street 2:SUITE J
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-4440
Practice Address - Country:US
Practice Address - Phone:515-777-3075
Practice Address - Fax:515-777-1719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0072361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty