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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
928 MAIN ST, KEOKUK, IA 52632-4655
(319) 524-4397
Mailing address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
(319) 753-0703

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
IA

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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