| NPI | 1063133189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. MIELKE Owner, Supervisor, Therapist 319-382-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |