NPI | 1730645102 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN KILCAWLEY Licensed Psychologist 515-421-8250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-11 |