| NPI | 1093156416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L. BREITENSTEIN President 563-419-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 841) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2013-07-14 |