| NPI | 1124415740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG W. MILLER Licensed Professional Counselor 563-580-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 3692-125) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-07-19 |