| NPI | 1649523580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KINTZEL Credentialing Specialist 319-688-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IA G119082) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |