Individual provider · Type 1 NPI
Mackenzie Ann Stucker, TC.A.D.C.
Substance Abuse Rehabilitation Facility · Iowa City, IA
NPI number
1003315276
Active
Practice location
2030 Keokuk St
Iowa City, IA 52240-4456
Fax (319) 351-9760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
2 other providers at this address
Other substance abuse rehabilitation facility providers in Iowa City
About NPI 1003315276
Mackenzie Ann Stucker, TC.A.D.C.'s National Provider Identifier is 1003315276, issued on Feb 2, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Iowa City, IA. The record was last updated on Feb 2, 2018.