Organization
STILL WATERS RECOVERY COUNSELING AND WELLNESS
Active
Other names
Still Waters
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY GRANT MARSENGILL CADC (EXECUTIVE DIRECTOR)
(319) 350-9444
Entity
Organization
Contact information
Practice address
305 2ND AVE SE STE 200, CEDAR RAPIDS, IA 52401-1207
(319) 350-9444
Mailing address
305 2ND AVE SE STE 200, CEDAR RAPIDS, IA 52401-1207
(319) 350-9444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
02/24/2017
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