NPI | 1922320084 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ALAN BECKER Business Manager 319-235-6571 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-17 |