| NPI | 1356643647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE HIBMA Social Worker/Branch Director 515-729-3112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00802) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |