| NPI | 1447510623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R BOYLE Director 319-610-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 001289) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |