NPI | 1386867489 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER SORENSEN CFO 515-235-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 770484) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |