| Sieda Substance Abuse Services | |
|
310 W. Main St Ottumwa IA 52501 | |
| (641) 683-6747 | |
| (641) 683-6317 |
| Full Name | Sieda Substance Abuse Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 310 W. Main St, Ottumwa, Iowa |
| Authorized Official Name and Position | Suzette Van Vark (UNIT DIRECTOR) |
| Authorized Official Contact | 6416836747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sieda Substance Abuse Services Po Box 658 Ottumwa IA 52501 Ph: () - | Sieda Substance Abuse Services 310 W. Main St Ottumwa IA 52501 Ph: (641) 683-6747 |
| NPI Number | 1396711768 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396711768 | NPI | - | NPPES |
| 000010984 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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