| NPI | 1871791202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA J BAILEY Therapist 319-393-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 001032) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-08-08 |