| NPI | 1053627182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA E NNANJI Owner 319-217-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 27692) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |