| NPI | 1619350782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L PFANTZ Manager 515-292-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 07985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00800) |
| 101YM0800X Counselor, Mental Health (Licence: IA 00299) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 03167) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 07617) | |
| 106H00000X Marriage & Family Therapist (Licence: IA 00405) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-04-14 |