| NPI | 1326489907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ALEXANDER Vice President 641-777-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 04839) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IA 04839) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |