Organization
JACKSON RECOVERY CENTERS, INC.
Active
Organization
JACKSON RECOVERY CENTERS, INC.
Active
Other names
Child and Adolescent Recovery Hospital Crisis and Stabilization Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERMIT DAHLEN (CEO)
(712) 234-2300
Entity
Organization
Contact information
Practice address
3500 WEST 4TH STREET, SIOUX CITY, IA 51103
(712) 266-1800
Mailing address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2300
(712) 234-2398
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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