| NPI | 1427554443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WIERDA Owner 515-777-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IA 084157) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-05-21 |