Provider Demographics
NPI:1659796431
Name:CHERISH CENTER
Entity Type:Organization
Organization Name:CHERISH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PAUSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-338-3333
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:OKOBOJI
Mailing Address - State:IA
Mailing Address - Zip Code:51355-1003
Mailing Address - Country:US
Mailing Address - Phone:712-338-3333
Mailing Address - Fax:866-717-5721
Practice Address - Street 1:1004 22ND ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:IA
Practice Address - Zip Code:51351-1290
Practice Address - Country:US
Practice Address - Phone:712-338-3333
Practice Address - Fax:866-717-5721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001422251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health