| NPI | 1538933999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L OLLENDICK Licensed Mental Health Counselor 563-590-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-08 |