| NPI | 1073474540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PICHIT THANUPAKORN Member/ Organizer 515-635-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |