Alcohol & Drug Dependency Services Of Se Iowa

LBN: Alcohol & Drug Dependency Services Of Se Iowa
Alcohol & Drug Dependency Services Of Se Iowa is an health care organization with primary practice located at 1340 Mt. Pleasant St , Burlington IA 52601. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Alcohol & Drug Dependency Services Of Se Iowa can be contacted via phone (317) 753-6567, or through Jones, Lena via phone (319) 753-6567.

Contact Information

Primary practice address
1340 Mt. Pleasant St Burlington IA 52601
Phone: (317) 753-6567
Fax: (319) 753-0703
Website:
Map and Directions
Authorized official contact:
Name: Jones, Lena
Phone: (319) 753-6567

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1336721117
LBN Legal business name Alcohol & Drug Dependency Services Of Se Iowa
DBA Doing business as
Authorized official Jones, Lena
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2021
Last updated Apr 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336721117 NPPES
Iowa MEDICAID 0215488

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