| NPI | 1568655249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL M ALTHAUS Executive Officer 319-827-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00233) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |