| NPI | 1013079458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WRIGHT Executive Driector 563-659-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00254) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |