| NPI | 1326448846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARBANS DEOL Health Services Administrator 319-626-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: IA 18517) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |