| NPI | 1760694939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA BOOK BOESEN President 515-225-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IA 25601) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |