| NPI | 1235977596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLA KELTNER Licensed Independent Social Worker 515-526-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |