| 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 |