| NPI | 1669894861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE THALKEN Billing Manager 319-665-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2024-01-08 |