| NPI | 1558553891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES THORPE Persident 515-289-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00913) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |