NPI | 1508740457 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN THOMANN Nurse Practitioner/Owner 319-330-6841 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-09-29 |