NPI 1043486400
Alcohol & Drug Dependency Services
Practice location
- Address
- 304 Highway 61 N, Wapello, IA 52653-1243
- Phone
- (319) 523-8436
- Fax
- (319) 523-8436
- Mailing address
- 1340 Mount Pleasant St, Burlington, IA 52601-2623
Authorised official
- Name
- Richard Swanson
- Title
- Executive Director
- Phone
- (319) 753-6567
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1043486400
- Entity type
- Organization
- NPI issued
- 6 May 2008
- Record last updated
- 6 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.