| NPI | 1790807147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN BECKER Business Manager 319-235-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |