NPI | 1497717946 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL ALLEN KAVALIER President 515-267-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2025-09-11 |