JACKSON RECOVERY CENTERS INC. NPI 1649603283

NPI Information

  • NPI: 1649603283
  • Provider Name: JACKSON RECOVERY CENTERS, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: ADOLESCENT CENTER
  • Address: 2101 COURT ST
    SIOUX CITY, IA
    ZIP 51104
  • Phone: (712) 293-4912

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NPI Details

JACKSON RECOVERY CENTERS, INC. is a substance abuse rehabilitation facility in Sioux City, IA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JACKSON RECOVERY CENTERS, INC. NPI is 1649603283. The provider is registered as an organization entity type.
The provider Other Name Is Adolescent Center.

The provider's business location address is:

2101 COURT ST
SIOUX CITY, IA
ZIP 51104-243
Phone: (712) 293-4912
Fax: (712) 293-4804

The provider's authorized official is Kermit Dahlen .
The authorized official title is Ceo/president and has the following contact phone number (712) 234-2300.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 8/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility1237IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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