| NPI | 1437472677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE SUSANN MICHELFELDER Executive Director 1515-314-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06761) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |