Organization
TWO RIVERS RECOVERY, LLC
Active
Parent organization
JUDITH M HAGER
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUDITH M HAGER
Authorized official
JUDITH M HAGER PMHNPBC, FNPC (PROVIDER/MEMBER)
(515) 321-4663
Entity
Organization
Contact information
Practice address
14321 DELLWOOD DR, URBANDALE, IA 50323-2096
(515) 321-4663
Mailing address
14321 DELLWOOD DR, URBANDALE, IA 50323-2096
(515) 321-4663
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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