Provider Demographics
NPI:1922369263
Name:EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIDL BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-241-0982
Mailing Address - Street 1:945 19TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1117
Mailing Address - Country:US
Mailing Address - Phone:515-241-0982
Mailing Address - Fax:515-241-0993
Practice Address - Street 1:3009 CENTER ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3721
Practice Address - Country:US
Practice Address - Phone:515-777-2839
Practice Address - Fax:515-277-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health