| Area Substance Abuse Council, Inc. | |
|
3601 16th Ave Sw Cedar Rapids IA 52404-2328 | |
| (319) 390-4611 | |
| (319) 390-4381 |
| Full Name | Area Substance Abuse Council, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3601 16th Ave Sw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Stephanie Boesenberg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3193904611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Area Substance Abuse Council, Inc. 3601 16th Ave Sw Cedar Rapids IA 52404-2328 Ph: (319) 390-4611 | Area Substance Abuse Council, Inc. 3601 16th Ave Sw Cedar Rapids IA 52404-2328 Ph: (319) 390-4611 |
| NPI Number | 1578560256 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578560256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Iowa) | Secondary |
| 251S00000X | Community/behavioral Health | 1221 (Iowa) | Primary |
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