| NPI | 1871941906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LEE CRUISE Marriage And Family Therapist 319-270-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000403) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |