NPI | 1649392325 |
---|---|
Doing Business As | ADOLESCENT AND CHILDREN MENTAL HEALTH |
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 |