NPI | 1124398722 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE POLICH Chief Executive Officer 515-280-3860 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2012-01-12 |
Last Update Date | 2016-05-23 |