NPI 1184943797

St. Jude Retreat House, LLC

Organisation Substance Abuse Rehabilitation Facility Des Moines, IA

Practice location

Address: 5875 Fleur Dr, Des Moines, IA 50321-2883
Phone: (800) 990-0340
Fax: (954) 208-5770

Authorised official

Name: Mike Vasquez
Title: Ceo
Phone: (800) 990-0340

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1340 (IA)

Other Substance Abuse Rehabilitation Facility providers in Iowa →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01930 (IA)

Other Psychiatry & Neurology providers in Iowa →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence A054289 (IA)

Other Nurse Practitioner providers in Iowa →

Registry record

NPI: 1184943797
Entity type: Organization
NPI issued: 21 May 2010
Record last updated: 16 Dec 2016

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.