| NPI | 1689797193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J WILWERDING President 515-274-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-12-01 |