| NPI | 1508301839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LANE HIGHNAM Sole Proprietor 319-240-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IA 00326) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |