NPI | 1336357557 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA M. SPEARS Executive Officer 319-269-4051 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 29-07-019) |
Enumeration Date | 2007-05-19 |
Last Update Date | 2020-08-22 |