| NPI | 1063795672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON JO WESTBROOK Social Worker 515-282-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IA 007581) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |