# COMMON ROAD TO RECOVERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508249939
- **Authorized official:** MR. JORGE PENA (DIRECTOR)
- **Authorized official phone:** (319) 202-1509

## Contact information

- **Practice address:** 4403 1ST AVE SE STE 302, CEDAR RAPIDS, IA 52402-3221
- **Practice address phone:** (319) 423-0919
- **Mailing address:** 4403 1ST AVE SE STE 302, CEDAR RAPIDS, IA 52402-3221
- **Mailing address phone:** (319) 423-0919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1370 | IA | Yes |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 07/06/2015