| NPI | 1336538180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME MILLER Executive Director 515-277-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 14007) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |