| NPI | 1609766328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY PRIMUS Owner 319-409-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-30 |