| NPI | 1043753056 |
|---|---|
| Former Legal Business Name | ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEREMY BAKER Clinician 641-530-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |