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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