Organization
MIDWEST TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN TRANE (DIRECTOR)
(319) 524-3560
Entity
Organization
Contact information
Practice address
2818 HIGHWAY 218, MONTROSE, IA 52639
(319) 463-5592
Mailing address
2818 HWY 218, MONTROSE, IA 52639
(319) 463-5592
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
PENDING
IA
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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