| NPI | 1457171100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA COX Clinical Program Coordinator 319-214-2601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |