| NPI | 1134259427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK C. ALDRICH President 515-244-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 00062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 20027) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: IA 20027) | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: IA 20027) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |