NPI 1538807748
North Iowa Juvenile Detention Services
Practice location
- Address
- 1402 Logan Ave, Waterloo, IA 50703-1947
- Phone
- (319) 888-7255
- Mailing address
- 1440 W Dunkerton Rd, Waterloo, IA 50703-9648
Authorised official
- Name
- Erica Degroot
- Title
- Administrative Assistant
- Phone
- (319) 888-7255
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1538807748
- Entity type
- Organization
- NPI issued
- 26 May 2022
- Record last updated
- 8 Aug 2022
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.