| Cedar Rapids Treatment Center | |
|
5005 Bowling St Sw Ste C Cedar Rapids IA 52404-5070 | |
| (319) 531-3824 | |
| (319) 531-3840 |
| Full Name | Cedar Rapids Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5005 Bowling St Sw Ste C, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Rapids Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: (615) 861-6000 | Cedar Rapids Treatment Center 5005 Bowling St Sw Ste C Cedar Rapids IA 52404-5070 Ph: (319) 531-3824 |
| NPI Number | 1821418096 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 0345507042 |
|---|---|
| Medicare Enrollment ID | O20200121001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821418096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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