| NPI | 1801631692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE OTTEN Revenue Cycle Director 515-710-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-10-05 |