| NPI | 1528934528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LOUISON Administrator 319-743-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |