| NPI | 1568058410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIORANNIA MARTINE PLEDGEJOHNSON Vice President/Treasurer 319-505-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |