| NPI | 1356635759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FRANCIS VILMONT Director/Owner 563-349-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 03801) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2024-04-08 |