| Sasc - Cedar Rapids | |
|
4403 1st Ave Se Suite 307 Cedar Rapids IA 52402-3200 | |
| (319) 294-1599 | |
| Not Available |
| Full Name | Sasc - Cedar Rapids |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4403 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Diane K Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5639275112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasc - Cedar Rapids 799 Main St Suite 110 Dubuque IA 52001-6844 Ph: (319) 582-3784 | Sasc - Cedar Rapids 4403 1st Ave Se Suite 307 Cedar Rapids IA 52402-3200 Ph: (319) 294-1599 |
| NPI Number | 1063848711 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063848711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1216 (Iowa) | Primary |
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