| NPI | 1558547877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED J HALL Owner 515-274-6351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00743) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |