NPI 1174976757
North Iowa Juvenile Detention Services
Practice location
- Address
- 1440 W Dunkerton Rd, Waterloo, IA 50703-9648
- Phone
- (319) 291-2455
- Fax
- (319) 291-2464
Authorised official
- Name
- Amber Lacina
- Title
- Medical Director
- Phone
- (319) 291-2455
Registered specialties (3)
Mental Illness Community Based Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1174976757
- Entity type
- Organization
- NPI issued
- 19 Jul 2016
- Record last updated
- 16 Jan 2025
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.