| NPI | 1730042219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ADELL RIVES Mental Health Counselor 515-337-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |