| 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 |