| NPI | 1679233183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG WILSON Assistant Vice President 515-979-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |