| NPI | 1336648088 |
|---|---|
| Other Name | LISA BAXTER |
| Entity Type | Organization |
| Authorized Contact | LISA BAXTER Clinical Social Worker 515-267-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |