| NPI | 1184874851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W SMITH Inpatient Social Worker 319-338-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 149013021) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |