Organization
RABINER TREATMENT CENTER
Active
Other names
Jerry Rabiner Memorial Boys' Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAUN RAE KEEFE LISW (DIRECTOR OF CLINICAL SERVICES)
(515) 573-1396
Entity
Organization
Contact information
Practice address
1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
(515) 573-8444
(515) 573-8442
Mailing address
1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
(515) 576-7388
(515) 576-2239
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IA11836
—
IA
Enumeration date
01/04/2007
Last updated
02/25/2014
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