| NPI | 1417682816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE RUS Therapist 563-235-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |