| NPI | 1073973087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNA J BRADY Owner 515-954-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00730) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |