| NPI | 1871398479 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MONICA KWOFIE Manager 319-529-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |