| NPI | 1124982244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ELISE PEREA Mental Health Therapist 319-804-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |