| NPI | 1013306224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY JO NICHOLS-PETERSON Owner/Clinical Social Worker 515-802-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007260) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |