Graduated: 2002
NPI: 1538314018
Practice Locations (2)
BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC
3251 W 9TH ST
WATERLOO, IA 507025310
3192342893
3641 KIMBALL AVE, SUITE 201
WATERLOO, IA 507025757
3192402284
Source: CMS National Downloadable File, September 2026.