| NPI | 1518554161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIRA M RELEFORD Director 319-408-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-03-15 |