| NPI | 1447684436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. LEE Therapist 515-232-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00203) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-10-21 |