| NPI | 1114884384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACY NICOLE JENSEN Marriage And Family Therapist 515-571-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |