| Children Of Promise Mentoring Program | |
|
1030 5th Ave Suite # 1200 Cedar Rapids IA 52403 | |
| (319) 529-1543 | |
| (833) 667-0184 |
| Full Name | Children Of Promise Mentoring Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1030 5th Ave Suite # 1200, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Giorannia Martine Pledgejohnson (VICE PRESIDENT/TREASURER) |
| Authorized Official Contact | 3195057537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Of Promise Mentoring Program 1143 Longfellow Ave Waterloo IA 50703 Ph: (319) 529-1543 | Children Of Promise Mentoring Program 1030 5th Ave Suite # 1200 Cedar Rapids IA 52403 Ph: (319) 529-1543 |
| NPI Number | 1568058410 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568058410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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