| NPI | 1346004066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MILLLAGE Co Owner 563-379-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |