| NPI | 1467177477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN MARIE ROOT-JAPENGA Owner 515-297-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |