Provider Demographics
NPI:1134361199
Name:MENTAL HEALTH INSTITUTE
Entity type:Organization
Organization Name:MENTAL HEALTH INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOC. SUPT. OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-385-7231
Mailing Address - Street 1:1200 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-1804
Mailing Address - Country:US
Mailing Address - Phone:319-385-7231
Mailing Address - Fax:319-835-8788
Practice Address - Street 1:1200 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-1804
Practice Address - Country:US
Practice Address - Phone:319-385-7231
Practice Address - Fax:319-835-8788
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTAL HEALTH INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital