| NPI | 1861591901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P MCCLAIN Director 515-291-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 156) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-12-04 |