| NPI | 1649046970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET CASEY BRENTON Co Owner 319-531-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |