NPI | 1831645233 |
---|---|
Other Name | TOWN CLOCK MENTAL HEALTH P.C. |
Entity Type | Organization |
Authorized Contact | JOEL M LIGHTCAP CEO 563-583-5627 |
Organization Subpart ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: IA MH14035) |
Enumeration Date | 2016-08-27 |
Last Update Date | 2016-08-27 |