COMMON ROAD TO RECOVERY NPI 1508249939

NPI Information

NPI: 1508249939
Provider Name: COMMON ROAD TO RECOVERY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4403 1ST AVE SE STE 302
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 423-0919
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COMMON ROAD TO RECOVERY is an addiction (substance use disorder) counselor in Cedar Rapids, IA. COMMON ROAD TO RECOVERY NPI is 1508249939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4403 1ST AVE SE STE 302
CEDAR RAPIDS, IA
ZIP 52402-221
Phone: (319) 423-0919

The provider's authorized official is Jorge Pena .
The authorized official title is Director and has the following contact phone number (319) 202-1509.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1370	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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