| NPI | 1386168722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA DRURY Owner/Provider 319-521-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00928) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |