NPI | 1376230706 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANTILA MARIE CASTON Mental Health Therapist 319-433-8833 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-21 |