| Organization Name: | ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC |
| NPI Number: | 1013181502 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL COAD (MANAGER) |
| Mailing Address: | 705 Douglas St Ste 325 Benson Bldg Sioux City |
| State: | IA US |
| Postal Code: | 511011016 |
| Phone Number: | 7122773200 |
| Fax Number: | 7122773208 |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 01284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |