| NPI | 1497007710 |
|---|---|
| Doing Business As | BLANK MENTAL HEALTH PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH F. CORFITS C.F.O. 515-241-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 104100000X Social Worker | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |