Wellformed AI

NPI 1396352779 · live from the CMS NPI Registry

Dordt University

Community/Behavioral Health in Sioux Center, IA. National Provider Identifier 1396352779, active.

NPI record

NPI1396352779 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location1124 7th Ave Ne, Sioux Center, IA 51250
Practice phone712-722-4850
Mailing address700 7th St Ne, Sioux Center, IA 51250
EnumeratedSeptember 29, 2020
Last updatedFebruary 3, 2021
Authorized officialSarah Hawley, Director

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Community/Behavioral Health primary251S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.