| NPI | 1780281444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JACKSON Licensed Independent Social Worker 319-521-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |