| NPI | 1659743656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SKOW Business Manager 319-321-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 146) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |