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Organization

SUMMIT BHC IOWA, LLC

Active
Parent organization
ST. GREGORY RECOVERY CENTER
Other names
Ivory Plains Recovery Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. GREGORY RECOVERY CENTER
Authorized official
BONITA DARLENE MANGRUM (VP REVENUE CYCLE)
(615) 637-7157
Entity
Organization

Contact information

Practice address
608 NORTH ST, ADAIR, IA 50002-1126
(615) 637-7157
Mailing address
389 NICHOL MILL LN STE 100, FRANKLIN, TN 37067-4887
(615) 478-7796

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/24/2023
Last updated
05/25/2023
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