| NPI | 1063586071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN FLAUGHER Billing Manager 319-297-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-08-11 |