| NPI | 1124386735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARD BEDFORD Executive Director 515-832-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |