| NPI | 1003060161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETA FONG TANSEY Director 319-337-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IA 32238) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |