| NPI | 1790952471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SWANSON Executive Director 319-753-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |