| NPI | 1922806132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENORIA SHANTE WALLICAN-NESBIT Director 319-493-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |