NPI | 1285275875 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERI L L DEGROOT Addiction Counselor 515-509-0272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-10-04 |
Last Update Date | 2019-10-04 |