| NPI | 1326294463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME RICHARD GREENBERG President 515-263-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IA 01709) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-10-27 |