| NPI | 1386527661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET BENCKE-HIVELEY Owner 515-417-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-08-18 |