Organization
PRAIRIE RIDGE INTEGRATED HEALTH CARE
Active
Other names
Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BAKER TCADC (CLINICIAN)
(641) 530-8055
Entity
Organization
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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