| NPI | 1124294889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PAIGE RICHARDSON President 319-337-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G095377) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |