| NPI | 1710138334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K GALEAZZI Director 515-244-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00516) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |