Organization · Type 2 NPI

St. Jude Retreat House, LLC

Substance Abuse Rehabilitation Facility · Des Moines, IA

NPI number 1184943797 Active

Practice location

5875 Fleur Dr
Des Moines, IA 50321-2883

Call (800) 990-0340 Map

Fax (954) 208-5770

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X01930 (IA)
Substance Abuse Rehabilitation Facility Primary 324500000X1340 (IA)
Nurse Practitioner 363L00000XA054289 (IA)

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.

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About NPI 1184943797

St. Jude Retreat House, LLC's National Provider Identifier is 1184943797, issued on May 21, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Des Moines, IA. The record was last updated on Dec 16, 2016.