| NPI | 1497819114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA HENNIGES Managing Partner 319-433-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 29-07-021) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-09-08 |