| NPI | 1780434159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DOUGLAS MCCARTY Owner/Employee 563-320-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |