| NPI | 1871847202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARNINE Owner 515-232-7157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IA 01108) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2020-10-28 |