| NPI | 1326305269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA RENEE GOTTO Owner 563-588-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 06001) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |