| NPI | 1972660256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH STANLEY President 515-255-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 04243) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-02-01 |