| NPI | 1295398378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAYA L ETHINGTON Co Owner 319-569-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-04-22 |