| NPI | 1477974244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PIERCE Residential Counselor 319-239-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |