| NPI | 1841563806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN LEE DAUGHERTY Owner/Clinical Social Worker 515-868-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007035) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |