| NPI | 1811235054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA THERESA GREENO Therapist 319-360-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00832) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |