NPI | 1043572225 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA M BRITTAIN President, Clinical Psychologist 515-225-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: IA 001192) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |