| NPI | 1891909958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARY PETERSON Executive Director 563-242-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |