| NPI | 1932468634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE VENTIMIGLIA HATCHER President 515-277-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA T-061905) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2014-08-05 |