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 |