| NPI | 1235737362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK POEPPE Owner 515-320-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-05-18 |