| NPI | 1932612918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY EDWARDS Owner/Therapist 563-451-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IA 072407) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |