Alcohol & Drug Dependency Services Of Se Iowa | |
1340 Mt. Pleasant St Burlington IA 52601 | |
(317) 753-6567 | |
(319) 753-0703 |
Full Name | Alcohol & Drug Dependency Services Of Se Iowa |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 1340 Mt. Pleasant St, Burlington, Iowa |
Authorized Official Name and Position | Lena Jones (ASSOC. DIRECTOR OF ADMIN) |
Authorized Official Contact | 3197536567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alcohol & Drug Dependency Services Of Se Iowa 1340 Mt. Pleasant St Burlington IA 52601 Ph: (317) 753-6567 | Alcohol & Drug Dependency Services Of Se Iowa 1340 Mt. Pleasant St Burlington IA 52601 Ph: (317) 753-6567 |
NPI Number | 1336721117 |
---|---|
Provider Enumeration Date | 04/22/2021 |
Last Update Date | 04/22/2021 |
Certification Date | 04/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336721117 | NPI | - | NPPES |
0215488 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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