Organization
ALCOHOL & DRUG DEPENDENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SWANSON PH.D. (EXECUTIVE DIRECTOR)
(319) 753-6567
Entity
Organization
Contact information
Practice address
320 N. MAIN ST., DAVENPORT, IA 52801
(563) 322-1036
(563) 322-1086
Mailing address
1340 MT. PLEASANT ST., BURLINGTON, IA 52601
(319) 753-6567
(319) 753-0703
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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