| NPI | 1174977268 |
|---|---|
| Other Name | TAILORED LIFE |
| Entity Type | Organization |
| Authorized Contact | LASHARON TAYLOR Licensed Mental Health Counselor 319-217-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 079016) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |