| NPI | 1669225280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LUFT-WISKUS Credentialing Coordinator 515-289-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |