| NPI | 1689734451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN BECKER Business Manager 319-235-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1236) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-08-05 |