| NPI | 1730316274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD UNZICKER Clinical Director 319-759-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180006800) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2025-09-25 |