| NPI | 1952733347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE TITILAYO EJIWALE Executive Director 319-855-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |