| NPI | 1255569331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN H PHILLIPS President 515-233-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IA 00399) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 960) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2023-01-23 |