MEDICARE: RESOLUTIONS SUBSTANCE ABUSE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	1261	IA

General Provider Information

NPI Number	:	1801952205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOLUTIONS SUBSTANCE ABUSE SERVICES

Provider Business Mailing Address
First Line	:	220 LAFAYETTE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 LAFAYETTE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1746
Country	:	US
Telephone Number	:	319-351-9760
Fax Number	:	319-887-2537

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NELSON FELIX MELLADO
Credential	:
Telephone Number	:	319-351-9760

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	08/22/2020

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