| NPI | 1326096116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GANSEMER CEO 563-583-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 363LF0000X Nurse Practitioner Family | |
| 103TS0200X Psychologist School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-10-26 |