| NPI | 1386125318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L THEURER Owner 319-775-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2024-02-23 |