| NPI | 1740901388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHERY NIELSEN Owner 563-265-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-03-03 |