| 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 |