| Common Road To Recovery | |
|
4403 1st Ave Se Ste 302 Cedar Rapids IA 52402-3221 | |
| (319) 423-0919 | |
| Not Available |
| Full Name | Common Road To Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4403 1st Ave Se Ste 302, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Jorge Pena (DIRECTOR) |
| Authorized Official Contact | 3192021509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Road To Recovery 4403 1st Ave Se Ste 302 Cedar Rapids IA 52402-3221 Ph: (319) 423-0919 | Common Road To Recovery 4403 1st Ave Se Ste 302 Cedar Rapids IA 52402-3221 Ph: (319) 423-0919 |
| NPI Number | 1508249939 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508249939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1370 (Iowa) | Primary |
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