| NPI | 1073664694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A KELLY Owner/Vice President 515-256-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 02581) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-07-01 |