Organization
JACKSON RECOVERY CENTERS, INC.
Active
Organization
JACKSON RECOVERY CENTERS, INC.
Active
Other names
Rosecrance Jackson Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ENOCKSON (VICE PRESIDENT CHIEF FINANCIAL OFFI)
(712) 234-2302
Entity
Organization
Contact information
Practice address
800 5TH ST, SUITE 200, SIOUX CITY, IA 51101-1317
(712) 234-2300
(712) 234-2398
Mailing address
800 5TH STREET, SIOUX CITY, IA 51101
(712) 234-2300
(712) 234-2398
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
IA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-55012
—
IA
01
—
68223
WELLMARK PROVIDER NUMBER
IA
Enumeration date
07/05/2005
Last updated
03/09/2026
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