Provider Demographics
NPI:1992006100
Name:PRELUDE BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:PRELUDE BEHAVIORAL SERVICES
Other - Org Name:SYNCHRONY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:AUNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-351-4357
Mailing Address - Street 1:430 SOUTHGATE AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4425
Mailing Address - Country:US
Mailing Address - Phone:319-351-4357
Mailing Address - Fax:
Practice Address - Street 1:438 SOUTHGATE AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4425
Practice Address - Country:US
Practice Address - Phone:319-351-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)