| NPI | 1942357389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. SUE MUELLER Acting Executive Director 563-864-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TS0200X Psychologist School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |