| NPI | 1609483825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL MCCREARY Chief Executive Officer 563-265-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-11-10 |