Organization
COVERT ACTION LLC
Active
Other names
Covert Action
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M COVERT DO (PROGRAM SPONSOR)
(515) 778-6608
Entity
Organization
Contact information
Practice address
1223 CENTER ST STE 22, DES MOINES, IA 50309-1016
(515) 218-6125
(515) 265-0845
Mailing address
12734 LINCOLN CIR, CLIVE, IA 50325-2301
(515) 778-6608
(515) 265-0845
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
1404
IA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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