| NPI | 1649392325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BEVERIDGE Director 515-247-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |