# ALCOHOL & DRUG DEPENDENCY SERVICES

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

## Provider details

- **NPI number:** 1316218928
- **Authorized official:** DR. RICHARD SWANSON PH.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 753-6567

## Contact information

- **Practice address:** 320 N. MAIN ST., DAVENPORT, IA 52801
- **Practice address phone:** (563) 322-1036
- **Practice address fax:** (563) 322-1086
- **Mailing address:** 1340 MT. PLEASANT ST., BURLINGTON, IA 52601
- **Mailing address phone:** (319) 753-6567
- **Mailing address fax:** (319) 753-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | IA | Yes |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012