| NPI | 1457691842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WHIPPLE COO 515-358-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2024-12-27 |