NPI | 1558338012 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN NETOLICKY Partner 319-365-3993 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2016-02-25 |