NPI | 1003500075 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE HOLLADAY Therapist 319-804-8815 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-05 |