Provider Demographics
NPI:1538310446
Name:RESOLUTIONS SUBSTANCE ABUSE SERVICES
Entity Type:Organization
Organization Name:RESOLUTIONS SUBSTANCE ABUSE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:MELLADO
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:319-331-0994
Mailing Address - Street 1:103 EAST 6TH ST.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010
Mailing Address - Country:US
Mailing Address - Phone:515-232-2855
Mailing Address - Fax:319-887-2537
Practice Address - Street 1:103 EAST 6TH ST.
Practice Address - Street 2:SUITE 105
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010
Practice Address - Country:US
Practice Address - Phone:515-232-2855
Practice Address - Fax:319-887-2537
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESRESOLUTIONS SUBSTANCE ABUSE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1261101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty