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Covert Action Llc
Methadone Clinic in Des Moines, Iowa
NPI 1700390101

Covert Action Llc is a Methadone Clinic based in Clive, IA and is specialized in Methadone. Covert Action Llc practices in Des Moines, IA. The NPI Number for Covert Action Llc is 1700390101 and holds a License No. 1404 (Iowa).

The current practice location address for Covert Action Llc is 1223 Center St Ste 22, Des Moines, IA and can be reached out via phone at 515-218-6125 and via fax at 515-265-0845. You can also correspond with Covert Action Llc through the mailing address at 12734 LINCOLN CIR, CLIVE, IA - 50325-2301 (mailing address contact number: 515-778-6608).

Location: 1223 Center St Ste 22, Des Moines, IA, 50325-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700390101
Provider Name
Covert Action Llc
Credential
Provider Entity Type
Organization
Address
1223 Center St Ste 22, Des Moines, IA, 50325-2301
Phone Number
515-218-6125
Fax Number
515-265-0845
Provider Enumeration Date
11/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1223 Center St Ste 22
City
Des Moines
State
Iowa
Zip
50309-1016
Phone Number
515-218-6125
Fax Number
515-265-0845
person
Provider Business Mailing Address Details
Address
1223 Center St Ste 22
City
Des Moines
State
Iowa
Zip
50309-1016
Phone Number
515-218-6125
Fax Number
515-265-0845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
1404 (Iowa)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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