Organization
ST. GREGORY RETREAT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J VASQUEZ (CEO)
(515) 421-4065
Entity
Organization
Contact information
Practice address
5875 FLEUR DR, DES MOINES, IA 50321-2883
(515) 298-7209
(631) 410-1394
Mailing address
5875 FLEUR DR, DES MOINES, IA 50321-2883
(515) 298-7209
(631) 410-1394
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1332
IA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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