| NPI | 1780805689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT SMITH President 319-936-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IA 02512) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-15 |