| NPI | 1497925382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERDENA BEACH Business Partner 319-277-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00012) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |