| NPI | 1013066430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHASKER DAVE Superintendant 319-334-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IA 100068H) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-09-04 |