| NPI | 1801764394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURGUNDY JOHNSON Psychiatrist 319-212-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-11-04 |