| NPI | 1265130587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PLEDGEJOHNSON Behavior Health Counselor 319-529-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |