Organization
JACKSON RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VICK (CFO)
(815) 312-6821
Entity
Organization
Contact information
Practice address
208 N 8TH ST, ESTHERVILLE, IA 51334-1923
(712) 234-2300
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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