NPI | 1780352815 |
---|---|
Entity Type | Organization |
Authorized Contact | CALEB THOMAS Director/Mental Health Counselor 319-206-0651 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-09-02 |
Last Update Date | 2021-09-14 |