| NPI | 1962678045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KAESTNER Director 319-398-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |