| NPI | 1144012485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KOONS-BEAUCHAMP Owner Practice Leader 319-431-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |