| NPI | 1760816128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA JEANNE ROHRET-ERICKSON Owner 712-240-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 00828) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |