| NPI | 1568827954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ENDER Executive Assistant 319-560-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 080966) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |