Organization
AREA SUBSTANCE ABUSE COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BOESENBERG (EXECUTIVE DIRECTOR)
(319) 390-4611
Entity
Organization
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
(319) 390-4381
Mailing address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
(319) 390-4381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IA
251S00000X
Community/Behavioral Health Agency
Primary
1221
IA
Other
Enumeration date
07/07/2005
Last updated
05/28/2024
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