| NPI | 1740458132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K MCBROOM Counselor 515-270-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 0405) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |