| NPI | 1730645102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KILCAWLEY Licensed Psychologist 515-421-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-08-06 |