Whalio Doctors

NPI 1336484831

St. Gregory Retreat Centers, LLC

Organisation Substance Abuse Rehabilitation Facility Des Moines, IA

Practice location

Address
5875 Fleur Dr, Des Moines, IA 50321-2883
Phone
(515) 298-7209
Fax
(631) 410-1394

Authorised official

Name
Michael J Vasquez
Title
Ceo
Phone
(515) 421-4065

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1332 (IA)

Registry record

NPI
1336484831
Entity type
Organization
NPI issued
10 Dec 2012
Record last updated
10 Dec 2012

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.