| NPI | 1972859288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GUEVARA Manager And Clinical Director 319-883-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001144) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-02-28 |