NPI | 1467819268 |
---|---|
Other Name | STILL WATERS |
Entity Type | Organization |
Authorized Contact | KELLY GRANT MARSENGILL Executive Director 319-350-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-01-25 |
Last Update Date | 2017-02-24 |