| NPI | 1750752333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG INGLE Medical Director 515-674-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IA A115413) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |