Organization
FAST-TRANS SUPPORTED COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNOUSS FALL (EXECUTIVE DIRECTOR)
(319) 491-0492
Entity
Organization
Contact information
Practice address
4401 BOWLING ST SW, CEDAR RAPIDS, IA 52404-5003
(319) 775-2085
Mailing address
4401 BOWLING ST SW, CEDAR RAPIDS, IA 52404-5003
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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