| NPI | 1366570673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JORGENSEN GAVRILA Family Therapist 319-338-9212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-24 |