| NPI | 1316378060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE KEENAN Psychotherapist 319-339-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06424) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |