Organization
JACKSON RECOVERY CENTERS
Active
Other names
Rosecrance
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOMEL (PRESIDENT/CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
2322 E KIMBERLY RD STE 200N, DAVENPORT, IA 52807-7216
(563) 355-0055
Mailing address
800 5TH ST STE 200, SIOUX CITY, IA 51101-1324
(712) 234-2300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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