| NPI | 1942585427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LANETTE HOUTS President 515-274-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 06244) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |