| NPI | 1073752218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY COCKAYNE Office Manager 515-255-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-05-07 |