OrganizationActive
Midwest Christian Services
NPI 1497959050 · Emotionally Disturbed Childrens' Residential Treatment Facility · Peterson, IA
Provider details
- NPI number
- 1497959050
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Everett Fowler, Executive Director
- License
- 29-11-001 (IA)
Practice location
4509 20th Ave
Peterson, IA 51047-7524
Phone: (712) 295-7601
Fax: (712) 295-7600
Mailing address
4509 20th Ave
Peterson, IA 51047-7524
Registry dates
- Enumerated
- 2007-06-14
- 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.