| NPI | 1730560939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREDRICK WALKER Clinical Director 515-210-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 007303) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-10-21 |