| NPI | 1124405055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELISE OTTO CAVES Licensed Psychologist 515-289-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001268) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IA G-108504) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-07-30 |