JACKSON RECOVERY CENTERS INC. NPI 1811994973

NPI Information

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 1811994973. The provider is registered as an organization entity type.

The provider's business location address is:

800 5TH ST
SUITE 200
SIOUX CITY, IA
ZIP 51101-317
Phone: (712) 234-2300
Fax: (712) 234-2398

The provider's authorized official is Julie Enockson .
The authorized official title is Vice President Chief Financial Offi and has the following contact phone number (712) 234-2302.

The CLIA number assigned to this NPI record is 16D2110478 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 7/21/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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