| NPI | 1881741593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GILBAUGH Executive Director 319-362-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IA 1103135) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |