| NPI | 1013446145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY CARTER Therapist 563-570-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 02638) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |