| NPI | 1225992738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MCCLURE Owner 515-771-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |