| NPI | 1710381587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ANN REITER Counselor/Coordinator 319-334-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IA 008278) |
| Additional Taxonomies | 251S00000X (Licence: IA 09053) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |