# RABINER TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jerry Rabiner Memorial Boys' Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104973148
- **Authorized official:** MS. DAUN RAE KEEFE LISW (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (515) 573-1396

## Contact information

- **Practice address:** 1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
- **Practice address phone:** (515) 573-8444
- **Practice address fax:** (515) 573-8442
- **Mailing address:** 1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
- **Mailing address phone:** (515) 576-7388
- **Mailing address fax:** (515) 576-2239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 02/25/2014