| NPI | 1497717946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL ALLEN KAVALIER President 515-267-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |