| NPI | 1316773757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A PHILLIPS Owner 319-524-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |