| NPI | 1164032934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEHED M SHEK Executive Director 319-351-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |