| NPI | 1134551310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYN OLSON Owner 515-289-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IA 007290) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-10-17 |