| 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 |