| NPI | 1952837809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY TILLGREN Owner 515-369-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 05815) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-07-26 |