| NPI | 1689484115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO WALTON Executive Director 515-422-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |