| NPI | 1851013916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RESSLER Authorized Official/Office Manager 515-777-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-12-27 |