| NPI | 1174759823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STANLEY CEO 515-255-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 04243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 00124) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |