| NPI | 1114972908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BURROWS CORCORAN President And CEO 515-255-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |