Organization
HEART OF PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN M VITZTHUM LISW (OWNER/THERAPIST)
(515) 450-2583
Entity
Organization
Contact information
Practice address
1721 ELMHURST AVE, HUMBOLDT, IA 50548-1882
(515) 450-2583
(515) 420-8303
Mailing address
1721 ELMHURST AVE, HUMBOLDT, IA 50548-1882
(515) 450-2583
(515) 420-8303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
11/07/2024
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