Organization
ALCOHOL & DRUG DEPENDENCY SERVICES
Active
Organization
ALCOHOL & DRUG DEPENDENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SWANSON PH.D. (EXECUTIVE DIRECTOR)
(319) 753-6567
Entity
Organization
Contact information
Practice address
304 HIGHWAY 61 N, WAPELLO, IA 52653-1243
(319) 523-8436
(319) 523-8436
Mailing address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
IA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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