CRC RECOVERY, INC.


Address: 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070
Phone: 3195313824

CRC RECOVERY, INC. (NPI# 1821418096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821418096
Entity Type Organization
Organization Name CRC RECOVERY, INC.
Other Organization Name CEDAR RAPIDS TREATMENT CENTER
Practice Address 5005 Bowling St Sw Ste C
Cedar Rapids
IA 52404-5070
Mailing Address 6185 Paseo Del Norte Ste 150
Carlsbad
CA 92011-1155
Practice Telephone 3195313824
Practice Fax Number 3195313840
Mailing Telephone 8582592288
Mailing Fax Number 3195313840
Enumeration Date 2014-04-25
Last Update Date 2020-04-10
Authorized Official Name KIM SANDERSON (PRESIDENT, CTC DIVISION)
Authorized Official Telephone 7607100951
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Cedar Rapids Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326689076 Crc Recovery, Inc. Clinic/Center 1750 W Broadway, Council Bluffs, IA 51501 2019-10-03
1710453485 Crc Recovery, Inc. Counselor 3584 Fairlanes Ave. Sw, Ste 2, Grandville, MI 49418-1583 2018-10-19
1396149068 Crc Recovery, Inc. Clinic/Center 522 South Maple Road, Ann Arbor, MI 48103-3837 2014-10-09
1306078084 Crc Recovery, Inc. Clinic/Center 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 2009-08-14
1750857520 Crc Recovery, Inc. Counselor 522 S Maple Rd, Ann Arbor, MI 48103-3837 2018-10-19
1942670559 Crc Recovery, Inc. Counselor 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 2015-09-25

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities CRC RECOVERY, INC. 6100 Tower Circle, Suite 1000, Franklin, TN 37067

Office Location

Street Address 5005 BOWLING ST SW STE C
City CEDAR RAPIDS
State IA
Zip Code 52404-5070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164053716 Jodi Hayes Licensed Practical Nurse 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2020-02-03
1306496534 Brandy Diana Hansen Licensed Practical Nurse 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2019-09-19
1841851193 Erin Lynn Turner Counselor 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2019-06-27
1003379611 Nichole Davis Counselor 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2019-04-10
1407329535 Amy Lynn Ealy Licensed Practical Nurse 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2019-01-11
1477026680 Jeannie Marie Murphy Registered Nurse 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2019-01-10
1306317003 Frederick Mishler Counselor 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2018-12-07
1285119784 Jenna Fourre Counselor 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2018-10-01
1154824134 Deena Loraine White Counselor 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2018-03-15
1801399381 Dianna Ray Slick Licensed Practical Nurse 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 2018-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285233064 Physiotherapy Associates, Inc. Clinic/Center 998 Westdale Parkway, Cedar Rapids, IA 52404 2020-10-22
1528617313 Humble Language Institute Interpreter 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 2019-09-05
1073169074 Jackie Lugene Mcfetridge Technician 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 2019-08-15
1003460312 Rem Iowa, Inc. Intermediate Care Facility, Mentally Retarded 143 16th Ave Sw, Cedar Rapids, IA 52404 2019-07-25
1811541121 Rem Iowa, Inc. Intermediate Care Facility, Mentally Retarded 2620 33rd Ave Sw, Cedar Rapids, IA 52404 2019-07-25
1659859569 Wanda Marie Mokry-sellers Counselor 3601 16th Avenue Sw, Cedar Rapids, IA 52404 2018-08-02
1790231371 Freddie Lederle Taxi 3260 Southgate Place, Cedar Rapids, IA 52404 2016-09-01
1619422748 Mercy Physician Associates, Inc Family Medicine 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 2016-08-18
1740638626 Lasharon Leah Taylor Counselor 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 2016-06-01
1689094112 Pathway Counseling Center Clinic/Center 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 2014-04-23
Find all providers in zip 52404

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326689076 Crc Recovery, Inc. Clinic/Center 1750 W Broadway, Council Bluffs, IA 51501 2019-10-03
1316420623 Cedar Valley Recovery Services Inc Clinic/Center 799 Main St Ste 370, Dubuque, IA 52001-6872 2018-09-12
1700390101 Covert Action LLC Clinic/Center 1223 Center St Ste 22, Des Moines, IA 50309-1016 2017-11-21
1245236942 Center for Alchol & Drug Services, Inc. Clinic/Center 1523 S Fairmount St, Davenport, IA 52802 2005-06-27
1932506359 Cedar Valley Recovery Services Inc Clinic/Center 151 Marion Blvd, Marion, IA 52302-3135 2014-12-01
1487870044 Cedar Valley Recovery Services Clinic/Center 2603 Rainbow Dr, Cedar Falls, IA 50613-4743 2007-04-18

Competitor

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City CEDAR RAPIDS
Zip Code 52404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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