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DAVENPORT, IA
NPI1568071686
Entity TypeOrganization
Authorized ContactKIAJUANA LAWTON
Chief Executive Officer
309-428-8764
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2020-07-24
Last Update Date2020-07-24
Business Address
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1131 E 39TH ST
DAVENPORT, IA 52807-1758
Phone number: 309-428-8764
Mailing Address
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PO BOX 2772
DAVENPORT, IA 52809-2772
Phone number: 309-428-8764
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