| NPI | 1144073941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN B BAGAZA CEO 515-380-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |