| NPI | 1669281275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIRIHO JOEL Owner 515-770-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |