| NPI | 1164402293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE THOMAS Executive Director 563-927-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 1216) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-22 |