Organization
NORTH IOWA JUVENILE DETENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LACINA BSN, RN, MSN, APMHNP (MEDICAL DIRECTOR)
(319) 291-2455
Entity
Organization
Contact information
Practice address
1440 W DUNKERTON RD, WATERLOO, IA 50703-9648
(319) 291-2455
(319) 291-2464
Mailing address
1440 W DUNKERTON RD, WATERLOO, IA 50703-9648
(319) 291-2455
(319) 291-2464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
01/16/2025
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