| NPI | 1568804680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN CARNAHAN Psychotherapist 319-430-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007762) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |