CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT – NPI #1770966491
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT is a substance abuse rehabilitation facility located in SIOUX CITY, IA. NPPES has assigned the NPI number 1770966491 to CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT on June 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT” is a dba name, the actual legal business name for this organization is JACKSON RECOVERY CENTERS, INC.. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT below.

NPI Profile for
JACKSON RECOVERY CENTERS, INC.

NPI Number
1770966491
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON RECOVERY CENTERS, INC.
Doing Business As (dba): CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
Primary location
3500 WEST 4TH STREET
SIOUX CITY, IA 51103
Phone: (712) 266-1800 Fax:
Mailing address
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone: (712) 234-2300 Fax: (712) 234-2398
Organization Subpart
No
Authorized Official
KERMIT DAHLEN
CEO
Phone: (712) 234-2300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.