| NPI | 1366782427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE HARRINGTON Executive Director 319-233-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 007967) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |