| NPI | 1326178526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GARBER Board Chairman 641-856-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |