| NPI | 1578015749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VASQUEZ President/CEO 515-865-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 01930) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |