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 |