| NPI | 1972026201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RIVERS Director 563-326-8618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IA 0491437) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |