Covert Action LLC

NPI #1700390101 in Des Moines, Iowa

Provider Information

NPI Number
1700390101
Entity Type
Organization
Organization Name
Covert Action LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Nov 21, 2017
Last Updated
Nov 21, 2017

Practice Location

Address
1223 CENTER ST STE 22
State
Iowa
ZIP Code
50309-1016
Phone
(515) 218-6125

Authorized Official

Name
DR. CHRISTOPHER M COVERT, DO
Title
PROGRAM SPONSOR
Phone
(515) 778-6608

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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