| NPI | 1023484383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA JEFFERSON Chief Executive Officer 319-493-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-12-10 |