| NPI | 1316944598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES EACHUS Executive Director 319-234-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-06-19 |