| NPI | 1285919977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN MARTENSON Owner 563-424-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00728) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2023-12-28 |