| NPI | 1538505516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D CAMERON Owner 515-557-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 001356) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |