| NPI | 1336721117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA JONES Assoc. Director Of Admin 319-753-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |