| NPI | 1902008089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON CHRISTENSEN Director Of Programs 319-237-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-04-16 |