| NPI | 1942437231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN PHILLIPS Chief Clinical Officer 515-233-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-11-21 |