NPI | 1295995397 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH DWAYNE CAMERON Chief Executive Officer 515-557-0415 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |