Organization
ALCOHOL & DRUG DEPENDENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SWANSON PH.D. (EXECUTIVE DIRECTOR)
(319) 753-6567
Entity
Organization
Contact information
Practice address
226 W MAIN ST, SUITE 16, OTTUMWA, IA 52501-2520
(800) 622-8340
Mailing address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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