| NPI | 1013938091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA K KILBRIDE Ims Supervisor 319-753-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-05-06 |