| 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 |