| NPI | 1073265633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN TILLMAN Managing Member 515-446-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-09-27 |