| NPI | 1528234218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAY TRAHAN Owner 515-292-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 27031) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2016-09-15 |