| NPI | 1942432406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PATRICK BERTROCHE Owner 515-334-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 03220) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2014-10-13 |