| NPI | 1346015427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEMA JOHN MUSHI CEO 319-300-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 305S00000X Point of Service |
| 251B00000X Case Management | |
| 251C00000X | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-12-03 |