| NPI | 1205100674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIMISON President 319-826-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 37768) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2017-02-14 |