| NPI | 1508379819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE VINCENT President 319-339-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 03057) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-09-10 |