| NPI | 1699853739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLIAN JH FOX Executive Director 319-354-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 05195) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |