NPI | 1114405693 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL FINN Owner 563-581-8070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IA 072270) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |