| NPI | 1417773102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A MIHALAKIS Executive Director 563-599-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |