| NPI | 1255644084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JUNE CRIBARI Partner/Clinical Director 515-720-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 001109) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 06140) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |