| NPI | 1245945690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURITY JEBET SANG Family Nurse Practitioner 515-779-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |