| NPI | 1760016786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY JO ROBERTS President 563-590-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |