| NPI | 1689952467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK MICHAEL MARTENSON Therapist/Owner 563-639-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00728) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |