| NPI | 1194124297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN KAY SCHULTZ Owner 319-361-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 04543) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-03-17 |