Provider Demographics
NPI:1639584881
Name:SYSTEMS UNLIMITED INC.
Entity Type:Organization
Organization Name:SYSTEMS UNLIMITED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORAN-CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-338-9212
Mailing Address - Street 1:1519 S GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4367
Mailing Address - Country:US
Mailing Address - Phone:319-338-9212
Mailing Address - Fax:319-354-8956
Practice Address - Street 1:1519 S GILBERT ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4367
Practice Address - Country:US
Practice Address - Phone:319-338-9212
Practice Address - Fax:319-354-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA072770251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health