Provider Demographics
NPI:1932499134
Name:ADULT AND CHILD CLINICAL ASSESSMENTS, INC
Entity Type:Organization
Organization Name:ADULT AND CHILD CLINICAL ASSESSMENTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:VETTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, ACSW, LISW
Authorized Official - Phone:515-745-0581
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:HUXLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50124-0035
Mailing Address - Country:US
Mailing Address - Phone:515-745-0581
Mailing Address - Fax:515-597-2541
Practice Address - Street 1:505 LARSON DR
Practice Address - Street 2:
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124-9494
Practice Address - Country:US
Practice Address - Phone:515-745-0581
Practice Address - Fax:515-597-2541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06645251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health