institution
Self-awareness, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Des Moines, Iowa
NPI 1760859680

Self-awareness, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Des Moines, IA and is specialized in Rehabilitation, Substance Use Disorder. Self-awareness, Llc practices in Des Moines, IA. The NPI Number for Self-awareness, Llc is 1760859680 and holds a License No. 1377 (Iowa).

The current practice location address for Self-awareness, Llc is 2301 Forest Ave, Des Moines, IA and can be reached out via phone at 515-277-0320 and via fax at 515-277-0358.

Location: 2301 Forest Ave, Des Moines, IA, 50311-3113
institution
Provider Profile Details
NPI Number
1760859680
Provider Name
Self-awareness, Llc
Credential
Provider Entity Type
Organization
Address
2301 Forest Ave, Des Moines, IA, 50311-3113
Phone Number
515-277-0320
Fax Number
515-277-0358
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601004190 01 IA MAGELLAN
institution
Provider Business Practice Location Address Details
Address
2301 Forest Ave
City
State
Zip
50311-3113
Phone Number
515-277-0320
Fax Number
515-277-0358
person
Provider Business Mailing Address Details
Address
2301 Forest Ave
City
State
Zip
50311-3113
Phone Number
515-277-0320
Fax Number
515-277-0358
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
1377 (Iowa)
Definition
Definition to come...
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