| NPI | 1407393259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DODDS President 515-283-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 850671) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 850670) |
| 101YM0800X Counselor Mental Health (Licence: IA 850672) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |