| NPI | 1063753762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA BILLINGS Owner 515-232-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00614) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |