| NPI | 1356874721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD WISNOUSKY Medical Director 319-533-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |