| NPI | 1306949896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN A OLSON Owner 515-279-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-10-30 |