| NPI | 1124071089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WHITTERS Authorized Official 319-393-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |