| NPI | 1457729832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA LYNN ARGUELLO ROMERO CARTAYA Director 319-338-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IA 001344) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IA 001344) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |