| NPI | 1316404957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN FIGARO Medical Director 563-224-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2024-10-11 |