| NPI | 1982614848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE R MARSHALL Executive Director 319-393-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00129) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00807) |
| 103TH0100X Psychologist Health Service (Licence: IA 00337) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-12-12 |