NPI | 1215784665 |
---|---|
Entity Type | Organization |
Authorized Contact | REINA ELIZABETH NORIEGA Credentialing Coordinator 515-505-5498 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-05-03 |
Last Update Date | 2024-05-03 |