| NPI | 1336168350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BENSKY Clinical Administrator 641-347-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 01222) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |