| NPI | 1104397223 |
|---|---|
| Former Legal Business Name | INNER HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | PATRICIA PETERSEN Owner 515-201-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-06-11 |