| NPI | 1558413815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A. KOERNER Director 515-230-4010 |
| Organization Subpart ? | |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00417) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |