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 |