| NPI | 1821229519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KIRBY KOITHAN President 515-883-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 02799) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |