| NPI | 1295319234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN H PHILLIPS President 515-233-1122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |