| 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 |