| NPI | 1598379067 |
|---|---|
| Former Legal Business Name | JUDITH M HAGER |
| Entity Type | Organization |
| Authorized Contact | JUDITH M HAGER Member/Provider 515-339-9478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |