| NPI | 1174480149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAURA JOHNSON Licensed Clinical Social Worker 515-402-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |