| NPI | 1740712678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BRADFORD Executive Director 515-381-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 1397) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |