| NPI | 1639584881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DORAN-CLARK Mental Health Director 319-338-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 072770) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |