# HILLCREST FAMILY SERVICES

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

## Provider details

- **NPI number:** 1992256291
- **Authorized official:** MR. GARY GANSEMER MSW (PRESIDENT/CEO)
- **Authorized official phone:** (563) 583-7357

## Contact information

- **Practice address:** 2543 WILBRICHT LN, DUBUQUE, IA 52001-3034
- **Practice address phone:** (563) 583-7357
- **Mailing address:** 2005 ASBURY RD, DUBUQUE, IA 52001-3042
- **Mailing address phone:** (563) 583-7357
- **Mailing address fax:** (888) 243-3455

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2016
- **Last updated:** 10/21/2016