Provider Demographics
NPI:1003599028
Name:INSIDE OUT WELLNESS AND ADVOCACY
Entity type:Organization
Organization Name:INSIDE OUT WELLNESS AND ADVOCACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-642-4125
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:IA
Mailing Address - Zip Code:50276-0458
Mailing Address - Country:US
Mailing Address - Phone:515-642-4125
Mailing Address - Fax:
Practice Address - Street 1:706 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:IA
Practice Address - Zip Code:50276-1010
Practice Address - Country:US
Practice Address - Phone:515-642-4125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness