NPI: 1770966491
Provider Name: JACKSON RECOVERY CENTERS, INC.
Doing Business As: CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 16D2110464
Address:
3500 WEST 4TH STREET
SIOUX CITY, IA
ZIP 51103
Phone: (712) 266-1800
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JACKSON RECOVERY CENTERS, INC. is a substance abuse treatment and children 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. JACKSON RECOVERY CENTERS, INC. NPI is 1770966491. The provider is registered as an organization entity type.
The provider Is Doing Business As Child And Adolescent Recovery Hospital Crisis And Stabilization Unit.
The provider's business location address is:
3500 WEST 4TH STREET
SIOUX CITY, IA
ZIP 51103
Phone: (712) 266-1800
The provider's authorized official is Kermit Dahlen .
The authorized official title is Ceo and has the following contact phone number (712) 234-2300.
The CLIA number assigned to this NPI record is 16D2110464 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/30/2015 and was last updated on 6/30/2015.