| NPI | 1437985736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CHRISTENSON Executive Director 319-270-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |