| NPI | 1740478429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SORENSEN CFO 515-235-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 001856) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |