| North Iowa Juvenile Detention Services | |
|
1440 W Dunkerton Rd Waterloo IA 50703-9648 | |
| (319) 291-2455 | |
| (319) 291-2464 |
| Full Name | North Iowa Juvenile Detention Services |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1440 W Dunkerton Rd, Waterloo, Iowa |
| Authorized Official Name and Position | Amber Lacina (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3192912455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Iowa Juvenile Detention Services 1440 W Dunkerton Rd Waterloo IA 50703-9648 Ph: (319) 291-2455 | North Iowa Juvenile Detention Services 1440 W Dunkerton Rd Waterloo IA 50703-9648 Ph: (319) 291-2455 |
| NPI Number | 1174976757 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174976757 | NPI | - | NPPES |
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