| NPI | 1962555003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT SMITH President 319-936-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 02512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 02512) |
| 1041C0700X Social Worker, Clinical (Licence: IA 02512) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2010-11-29 |