| NPI | 1730292996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE MILLARD Psychologist 563-243-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-09-20 |