| NPI | 1497977763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE HOFTENDER Accounts Receivable 563-583-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-02-13 |