| NPI | 1609453463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE WOOD Executive Director 515-230-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |