NPI | 1528568854 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN SCOTT CAMERON Provider 515-314-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19607) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-04-10 |