| NPI | 1508312349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAY TRAHAN Psychiatrist 515-292-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 27031) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |