| NPI | 1558880336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DIETER President/CEO 515-239-2103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |