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Josaphine Long, CADC
Substance Abuse Rehabilitation Facility in Fort Dodge, Iowa
NPI 1679350995

Josaphine Long is a Substance Abuse Rehabilitation Facility based in Fort Dodge, IA. Josaphine Long practices in Fort Dodge, IA and has the professional credentials of CADC. The NPI Number for Josaphine Long is 1679350995 and holds a License No. 22019 (Iowa).

The current practice location address for Josaphine Long is 826 1St Ave N, Fort Dodge, IA and can be reached out via phone at 515-573-3931 and via fax at 515-573-3950. You can also correspond with Josaphine Long through the mailing address at 223 AVE F, FORT DODGE, IA, USA, FORT DODGE, IA - 50501 (mailing address contact number: 515-576-9619).

Location: 826 1St Ave N, Fort Dodge, IA, 50501
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Provider Profile Details
NPI Number
1679350995
Provider Name
Josaphine Long
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
826 1St Ave N, Fort Dodge, IA, 50501
Phone Number
515-573-3931
Fax Number
515-573-3950
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
826 1St Ave N
City
State
Zip
50501-3906
Phone Number
515-573-3931
Fax Number
515-573-3950
person
Provider Business Mailing Address Details
Address
826 1St Ave N
City
State
Zip
50501-3906
Phone Number
515-573-3931
Fax Number
515-573-3950
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
22019 (Iowa)
Definition
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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