| NPI | 1578450664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES GIKWERERE Director 319-321-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |