| NPI | 1821240250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE ANNE BRAY Private Counselor Program Director 319-752-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IA 001123) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |