OrganizationActive
Story County Community Life Program
NPI 1366516114 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ames, IA
Provider details
- NPI number
- 1366516114
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gayla Harken, Director(515) 956-2600
- License
- 850672 (IA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 850672 (IA)
Residential Treatment Facilities
Practice location
620 Duluth St
Ames, IA 50010-8558
Phone: (515) 956-2600
Fax: (515) 956-2609
Approximate (ZIP-level) locationGet directions
Mailing address
104 S Hazel Ave
Ames, IA 50010-5952
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.