| NPI | 1417235375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY THOMAS ROSSOW Oupatient Counselor 641-792-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |