| NPI | 1609824911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CAREY Business Manager 319-362-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-04-26 |