| NPI | 1538310446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON FELIX MELLADO Executive Director 319-331-0994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 1261) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |