NPI | 1457544850 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN ANDREW LODICO Owner 563-355-1611 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2007-08-20 |