| NPI | 1225744717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE ALEX Nurse Practitioner/Owner 641-777-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-02-13 |