| North Iowa Juvenile Detention Services | |
|
1440 W Dunkerton Rd Waterloo IA 50703-9648 | |
| (319) 888-7255 | |
| Not Available |
| Full Name | North Iowa Juvenile Detention Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1440 W Dunkerton Rd, Waterloo, Iowa |
| Authorized Official Name and Position | Erica Degroot (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3198887255 |
| 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) 888-7255 | North Iowa Juvenile Detention Services 1440 W Dunkerton Rd Waterloo IA 50703-9648 Ph: (319) 888-7255 |
| NPI Number | 1891506119 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891506119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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