| NPI | 1306904776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GRADERT Vice President 563-326-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 420698225) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-08-12 |