| NPI | 1760859680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME MILLER Ececutive Director/Counselor 515-277-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IA 1377) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |