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