| NPI | 1720119126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J HEJTMANEK Director Of Prof Services 515-243-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |