| Substance Abuse Services Center | |
|
799 Main St Suite 270 Dubuque IA 52001-6844 | |
| (563) 582-3784 | |
| (563) 582-4006 |
| Full Name | Substance Abuse Services Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 799 Main St, Dubuque, Iowa |
| Authorized Official Name and Position | Diane Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5639275112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Substance Abuse Services Center 799 Main St Suite 270 Dubuque IA 52001-6844 Ph: (563) 582-3784 | Substance Abuse Services Center 799 Main St Suite 270 Dubuque IA 52001-6844 Ph: (563) 582-3784 |
| NPI Number | 1164402293 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164402293 | NPI | - | NPPES |
| 680204 | Other | IA | WELLMARK BC/BS |
| 0177394 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1216 (Iowa) | Primary |
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