| NPI | 1417367400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY ALAN WILLIAMS President/Exc. Clinician 641-903-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001039) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-11-23 |