| NPI | 1750834727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KUEHL Owner 515-520-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IA 06805) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |