| NPI | 1881103471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D PERKINS Owner 319-363-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IA 00995) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |