Organization
ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA
Active
Organization
ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA JONES (ASSOC. DIRECTOR OF ADMIN)
(319) 753-6567
Entity
Organization
Contact information
Practice address
1340 MT. PLEASANT ST, BURLINGTON, IA 52601
(317) 753-6567
(319) 753-0703
Mailing address
1340 MT. PLEASANT ST, BURLINGTON, IA 52601
(317) 753-6567
(319) 753-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215488
—
IA
Enumeration date
04/22/2021
Last updated
04/22/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up