Organization
MIDWEST BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN RALYNN BALL CADC (PROGRAM DIRECTOR, COUNSELOR)
(515) 724-9896
Entity
Organization
Contact information
Practice address
102 N WILSON STREET, JEFFERSON, IA 50129
(515) 386-2433
(515) 386-2124
Mailing address
102 N WILSON ST, JEFFERSON, IA 50129-2126
(515) 386-2433
(515) 386-2124
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1444
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
09/21/2021
Last updated
08/30/2022
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