NPI | 1760896211 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCO ROUMAN President 319-594-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IA 08905) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2014-06-12 |