| NPI | 1154707396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GERARD WEEG Owner/Psychotherapist 515-229-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2585) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |