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Organization

MIDWEST ACADEMY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TO BE DETERMINED (UNKNOWN)
(111) 111-1111
Entity
Organization

Contact information

Practice address
2416 340TH ST, KEOKUK, IA 52632-9539
(877) 793-4909
(800) 524-0902
Mailing address
2416 340TH ST, KEOKUK, IA 52632-9539
(877) 793-4909
(800) 524-0902

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/27/2016
Last updated
02/24/2016
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