| NPI | 1295081941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D. BUCHANAN Clinical Manager 515-412-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 00063) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-01-06 |