| NPI | 1942251160 |
|---|---|
| Former Legal Business Name | MENTAL HEALTH CENTER OF MID-IOWA |
| Entity Type | Organization |
| Authorized Contact | J. MICHAEL BERGMAN CEO/Licensed Psychologist 641-752-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IA 00505) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-03-28 |