| NPI | 1740624949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESE GREENHALGH Owner 641-676-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 007454) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |