| NPI | 1477983120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M. KAESSER CEO 515-240-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IA 0550) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 0550) |
| 103T00000X Psychologist (Licence: IA 0550) | |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2016-04-25 |