| NPI | 1689318214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY M. SIEFKEN Clinical Social Worker 319-316-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-03-28 |