| NPI | 1417103649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA JOYCE RANDALL Executive Director 515-724-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001075) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2010-08-20 |