Organization
JACKSON RECOVERY CENTERS, INC.
Active
Organization
JACKSON RECOVERY CENTERS, INC.
Active
Parent organization
JACKSON RECOVERY CENTERS, INC.
Other names
Adolescent Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON RECOVERY CENTERS, INC.
Authorized official
MR. KERMIT DAHLEN (CEO/PRESIDENT)
(712) 234-2300
Entity
Organization
Contact information
Practice address
2101 COURT ST, SIOUX CITY, IA 51104-3243
(712) 293-4912
(712) 293-4804
Mailing address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2300
(712) 234-2398
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1237
IA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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