| NPI | 1184389058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIA LANTOW Psychiatric Nurse Practitioner 515-992-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |