| NPI | 1225882731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN L RODENBURGH Owner 319-231-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |