Organization · Type 2 NPI

North Iowa Juvenile Detention Services

Mental Illness Community Based Residential Treatment Facility · Waterloo, IA

NPI number 1174976757 Active

Practice location

1440 W Dunkerton Rd
Waterloo, IA 50703-9648

Fax (319) 291-2464

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3 other providers at this address

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About NPI 1174976757

North Iowa Juvenile Detention Services's National Provider Identifier is 1174976757, issued on Jul 19, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Waterloo, IA. The record was last updated on Jan 16, 2025.