| NPI | 1528505369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DONAVON SCHAEFER Owner 319-239-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001292) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-03-30 |