| NPI | 1609666973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MEANY Therapist 515-782-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |