| NPI | 1922453364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ALLEMAGNE Owner 515-975-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 000375) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |