Provider Demographics
NPI:1902391436
Name:THE CRISIS CENTER OF JOHNSON COUNTY
Entity Type:Organization
Organization Name:THE CRISIS CENTER OF JOHNSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-351-2726
Mailing Address - Street 1:1121 GILBERT CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4528
Mailing Address - Country:US
Mailing Address - Phone:319-351-2726
Mailing Address - Fax:
Practice Address - Street 1:1121 GILBERT CT
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4528
Practice Address - Country:US
Practice Address - Phone:319-351-2726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health