| NPI | 1922741685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE LYNNE CHASE Manager/Owner 319-230-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-23 |