NPI | 1912401803 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY KATHARINE ALLAIRE Owner/Operator 319-435-8212 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007059) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-10-08 |