NPI | 1255798609 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA STEENHOVEN Owner 515-707-5220 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 03054) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-02-01 |