| NPI | 1588729131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN MARIE RIDER-HILDRETH Clinical Social Worker 515-332-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 01155) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |