Provider Demographics
NPI:1760510036
Name:UNITED ACTION FOR YOUTH, INC
Entity Type:Organization
Organization Name:UNITED ACTION FOR YOUTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-338-7518
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52244-0892
Mailing Address - Country:US
Mailing Address - Phone:319-338-7518
Mailing Address - Fax:319-337-7999
Practice Address - Street 1:1700 S 1ST AVE STE 14
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6036
Practice Address - Country:US
Practice Address - Phone:319-338-7518
Practice Address - Fax:319-337-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health