| NPI | 1124728316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELLE WILLIAMS Owner/ Manager 319-853-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-03-10 |