NPI | 1366299018 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA BATCHELER Manger Billing 319-743-9529 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-06-03 |