| NPI | 1003551722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAAD KHAN Manager 515-340-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-05-13 |