| Trivium Life Services | |
|
835 Gordon Dr Sioux City IA 51101-1829 | |
| (712) 522-3346 | |
| Not Available |
| Full Name | Trivium Life Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 835 Gordon Dr, Sioux City, Iowa |
| Authorized Official Name and Position | Darian Matthew Zima (CFO) |
| Authorized Official Contact | 7122567888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trivium Life Services 1851 Madison Ave Ste 718 Council Bluffs IA 51503-3602 Ph: (712) 256-7888 | Trivium Life Services 835 Gordon Dr Sioux City IA 51101-1829 Ph: (712) 522-3346 |
| NPI Number | 1235711672 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235711672 | NPI | - | NPPES |
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