| NPI | 1497354773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIE TUESCHER Chief Compliance Officer 563-583-7357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0801X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-01-05 |