Midwest Academy, LLC

NPI #1811354400 in Keokuk, Iowa

Provider Information

NPI Number: 1811354400
Entity Type: Organization
Organization Name: Midwest Academy, LLC
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Jan 27, 2016
Last Updated: Feb 24, 2016

Practice Location

Address: 2416 340TH ST
City: Keokuk
State: Iowa
ZIP Code: 52632-9539
Phone: (877) 793-4909

Authorized Official

Name: TO BE DETERMINED
Title: UNKNOWN
Phone: (111) 111-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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