| NPI | 1184903247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOWARD CRAWFORD CEO/Director 563-323-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA X000402601) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |