| NPI | 1013276542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY SMIGEL Owner/Director 319-541-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 001295) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-06-04 |