| NPI | 1821975079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA JO CAPPER Provider 515-612-8238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |