| NPI | 1326445511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F CARSON CFO 515-298-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-02-03 |