NPI | 1821234055 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MARIE GAMM Executive Director 319-636-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 1325) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2009-06-24 |