Organization
SOUTHERN IOWA ECONOMIC DEVELOPMENT ASSOC
Active
Other names
SIEDA Substance Abuse Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZETTE VAN VARK (UNIT DIRECTOR)
(641) 683-6747
Entity
Organization
Contact information
Practice address
310 W. MAIN ST, OTTUMWA, IA 52501
(641) 683-6747
(641) 683-6317
Mailing address
PO BOX 658, OTTUMWA, IA 52501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010984
—
IA
Enumeration date
02/27/2006
Last updated
09/18/2023
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