Sieda Substance Abuse Services | |
310 W. Main St Ottumwa IA 52501 | |
(641) 683-6747 | |
(641) 683-6317 |
Full Name | Sieda Substance Abuse Services |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 310 W. Main St, Ottumwa, Iowa |
Authorized Official Name and Position | Suzette Van Vark (UNIT DIRECTOR) |
Authorized Official Contact | 6416836747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sieda Substance Abuse Services Po Box 658 Ottumwa IA 52501 Ph: () - | Sieda Substance Abuse Services 310 W. Main St Ottumwa IA 52501 Ph: (641) 683-6747 |
NPI Number | 1396711768 |
---|---|
Provider Enumeration Date | 02/27/2006 |
Last Update Date | 09/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396711768 | NPI | - | NPPES |
000010984 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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