NPI | 1740695170 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN HOLLENKAMP Executive Director 515-274-9607 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 317887) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |