| NPI | 1942416102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WRIGHT Executive Director 563-659-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 230904) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |