NPI | 1730860073 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRIA MCNAMEE Owner 319-939-6194 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-28 |
Last Update Date | 2023-07-28 |