# IOWA CITY RECOVERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033029376
- **Authorized official:** JACK MCKENZIE (OWNER)
- **Authorized official phone:** (608) 438-3131

## Contact information

- **Practice address:** 475 W HWY 1, IOWA CITY, IA 52240
- **Practice address phone:** (608) 438-3131
- **Mailing address:** 301 S LIVINGSTON ST STE 200, MADISON, WI 53703-5401
- **Mailing address phone:** (608) 438-3131
- **Mailing address fax:** (608) 284-7426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/09/2026